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
—
—
207T00000X
Neurological Surgery Physician
—
—
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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