Harrell, Regina B

Harrell, Regina B is an individual health care provider with primary practice located at 850 5Th Ave E , Tuscaloosa AL 35401-7419. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Harrell, Regina B can be contacted via phone (205) 348-1770.

Contact Information

Primary practice address
850 5Th Ave E Tuscaloosa AL 35401-7419
Phone: (205) 348-1770
Fax: (205) 348-2889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 200400351 North Carolina
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD.27429 Alabama

Profile Details

NPI number 1578504114
LBN Legal business name Harrell, Regina B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Mar 28th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578504114 NPPES
North Carolina MEDICAID 89137MG

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