Individual
MS. REGINA SOUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
130 MEDICAL CENTER DR, CARLETON, MI 48117-9461
(734) 654-2169
(734) 654-6535
Mailing address
130 MEDICAL CENTER DR, CARLETON, MI 48117-9461
(734) 654-2169
(734) 654-6535
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003551
MI
Other
Enumeration date
05/09/2006
Last updated
01/30/2008
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