Ivan Fields
NPI 1255880654 · on the registry since 2016 · sole proprietor
Practice
- Address
- 7109 Greystone Dr
Riverdale, GA 30296 - Phone
- (202) 427-2264
Registry record
- Primary taxonomy
- Counselor
101Y00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia