Provider Demographics
NPI:1891967469
Name:FIELD HEATHCARE MANAGEMENT, INC.
Entity Type:Organization
Organization Name:FIELD HEATHCARE MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:STUBBLEFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-766-5112
Mailing Address - Street 1:1820 SAVANNAH HWY
Mailing Address - Street 2:SUITE A1
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6276
Mailing Address - Country:US
Mailing Address - Phone:843-766-5112
Mailing Address - Fax:843-766-5123
Practice Address - Street 1:1820 SAVANNAH HWY
Practice Address - Street 2:SUITE A1
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6276
Practice Address - Country:US
Practice Address - Phone:843-766-5112
Practice Address - Fax:843-766-5123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-24
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC811/2904111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty