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Organization
REAGAN MEDICAL CENTER
Active
Organization
REAGAN MEDICAL CENTER
Active
Parent organization
REAGAN MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
REAGAN MEDICAL CENTER
Authorized official
SATISH B PODDAR (MD)
(678) 344-8700
Entity
Organization
Contact information
Practice address
1241 FRIENDSHIP RD STE 110, BRASELTON, GA 30517-5609
(678) 344-8700
Mailing address
2878 FIVE FORKS TRICKUM RD STE 2A, LAWRENCEVILLE, GA 30044-5896
(678) 344-8700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
NULL
207T00000X
Neurological Surgery Physician
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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