Individual
REGINA B HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
850 5TH AVE E, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-2889
Mailing address
850 5TH AVE E, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-2889
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD.27429
AL
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
200400351
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137MG
—
NC
Enumeration date
06/08/2006
Last updated
03/28/2012
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