Healthcare Provider Details

I. General information

NPI: 1447374491
Provider Name (Legal Business Name): JAMES PERRY FIELDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 HILLSBORO PIKE SUITE 200
NASHVILLE TN
37215-3345
US

IV. Provider business mailing address

411 LYNNWOOD BLVD
NASHVILLE TN
37205-3434
US

V. Phone/Fax

Practice location:
  • Phone: 615-383-6092
  • Fax: 615-292-8424
Mailing address:
  • Phone: 615-298-1625
  • Fax: 615-463-0008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License NumberMD11585
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: