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Individual

MS. TERESA JANE REGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
210 WESTWOOD PL STE 110, BRENTWOOD, TN 37027-7554
(615) 206-2462
(833) 983-2043
Mailing address
11402 CLIPPER BAY DR, SODDY DAISY, TN 37379-6375

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO0000000753
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3302121
TN
Enumeration date
12/16/2005
Last updated
09/28/2022
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