Doctor Name: | MRS. PEGGY G FIELDS |
NPI Number: | 1144496100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA COUNSELING |
License Number: | 3612 |
Business Practice Address: | 1620 Sherwood Dr Conway, SC - 295263046 |
Business Phone Number: | 8434886274 |
Business Fax Number: | |
Mailing Address: | Po Box 332, EVERGREEN |
State: | NC |
Postal Code: | 284380332 |
Phone Number: | 9106482416 |
Fax Number: | |
NPI Enumeration Date: | 04/30/2008 |
NPI Last Update Date: | 04/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | 3612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |