Provider Demographics
NPI:1972862498
Name:CHARRIER, REGINA M ANDERSON (MD)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:M ANDERSON
Last Name:CHARRIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3435 ROSE ARBOR CT
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30340-4038
Mailing Address - Country:US
Mailing Address - Phone:850-217-4258
Mailing Address - Fax:
Practice Address - Street 1:3435 ROSE ARBOR CT
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30340-4038
Practice Address - Country:US
Practice Address - Phone:850-217-4258
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA76381207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology