Individual
REAGAN BOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MD
Contact information
Practice address
979 E 3RD ST STE C720, CHATTANOOGA, TN 37403-3329
(423) 778-7517
Mailing address
979 E 3RD ST STE C720, CHATTANOOGA, TN 37403-3329
(423) 778-7517
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
06/15/2025
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