MEDICARE: DR. REGINA S LINDSEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD0000018070	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	26-3496551	OTHER	TN	AETNA
2	000000001712	OTHER	TN	TLC
3	4040083	OTHER	TN	TENNCARE SELECT
4	3044948	OTHER	TN	UAHC
5	4040083	OTHER	TN	BCBS
6	000000112955	OTHER	TN	UNISON
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902921976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. REGINA S LINDSEY M.D.

Provider Business Mailing Address
First Line	:	PO BOX 279
Second Line	:	4772 NAVY ROAD
City	:	MILLINGTON
State	:	TN
Zip	:	38083-0279
Country	:	US
Telephone Number	:	901-873-4501
Fax Number	:	901-873-4505

Provider Business Practice Location Address
First Line	:	4772 NAVY RD
Second Line	:
City	:	MILLINGTON
State	:	TN
Zip	:	38053-1927
Country	:	US
Telephone Number	:	901-873-4501
Fax Number	:	901-873-4505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	02/17/2009

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