Organization
REGENTS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORI RAY (PRESIDENT)
(615) 746-0203
Entity
Organization
Contact information
Practice address
254 REN MAR DR STE 100, PLEASANT VIEW, TN 37146-3723
(615) 746-0203
(615) 746-0001
Mailing address
254 REN MAR DR STE 100, PLEASANT VIEW, TN 37146-3723
(615) 746-0203
(615) 746-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/20/2020
Last updated
01/20/2020
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