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 (CEO)
(678) 344-8700
Entity
Organization
Contact information
Practice address
1295 HEMBREE RD STE 200, ROSWELL, GA 30076-5721
(678) 344-8700
Mailing address
2878 FIVE FORKS TRICKUM RD STE 2A, LAWRENCEVILLE, GA 30044-5896
(678) 999-2299
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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