Healthcare Provider Details

I. General information

NPI: 1659294767
Provider Name (Legal Business Name): JAMES ARTHUR FIELDS JR. CSFA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

628 E 12TH ST
WASHINGTON NC
27889-3409
US

IV. Provider business mailing address

760 W FIRE TOWER RD STE 107
WINTERVILLE NC
28590-8058
US

V. Phone/Fax

Practice location:
  • Phone: 252-975-4100
  • Fax:
Mailing address:
  • Phone: 252-295-8601
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number138469
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: