Individual
REGINA NANNETTE COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6618 BAY CIRCLE DR, KNOXVILLE, TN 37918-9109
(865) 688-7506
(865) 688-4545
Mailing address
6618 BAY CIRCLE DR, KNOXVILLE, TN 37918-9109
(865) 688-7506
(865) 688-4545
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454248
—
TN
01
—
4019864
BLUECROSS BLUESHIELD
TN
Enumeration date
11/29/2006
Last updated
07/08/2007
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