Individual
REGAN M ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21875 STATE HIGHWAY 181, FAIRHOPE, AL 36532-4481
(251) 928-1442
(251) 210-0969
Mailing address
21875 STATE HIGHWAY 181, FAIRHOPE, AL 36532-4481
(251) 928-1442
(251) 210-0969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01054579A
IN
207Q00000X
Family Medicine Physician
Primary
27544
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200346320A
—
IN
Enumeration date
01/13/2006
Last updated
10/08/2012
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