Individual
REAGAN WALKER SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2863 HIGHWAY 45 BYP, JACKSON, TN 38305-3618
(731) 422-0213
(731) 506-1798
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 425-5752
(731) 256-7634
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6546
TN
Other
Enumeration date
02/26/2025
Last updated
07/28/2025
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