IndividualActive
Regina South, PA-C
NPI 1497704142 · Medical Physician Assistant · Carleton, MI
Provider details
- NPI number
- 1497704142
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5601003551 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
130 Medical Center Dr
Carleton, MI 48117-9461
Phone: (734) 654-2169
Fax: (734) 654-6535
Approximate (ZIP-level) locationGet directions
Mailing address
130 Medical Center Dr
Carleton, MI 48117-9461
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2008-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.