Individual
REGAN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 WALKER ST, SPARTA, TN 38583-1725
(931) 836-2201
(931) 836-3580
Mailing address
135 WALKER ST, SPARTA, TN 38583-1725
(931) 836-2201
(931) 836-3580
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
203581
TN
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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