# REAGAN MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** REAGAN MEDICAL CENTER IN SUWANEE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649365750
- **Authorized official:** DR. SEAN BARTLETT HERRIN M.D. (PHYSICIAN)
- **Authorized official phone:** (678) 654-3665

## Contact information

- **Practice address:** 2696 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2535
- **Practice address phone:** (770) 771-5570
- **Practice address fax:** (770) 771-5571
- **Mailing address:** 2696 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2535
- **Mailing address phone:** (770) 771-5570
- **Mailing address fax:** (770) 771-5571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 048008 | GA | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 07/21/2022