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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
MR. SATISH PODDAR MD (CEO)
(678) 344-8700
Entity
Organization

Contact information

Practice address
10160 MEDLOCK BRIDGE RD, SUITE 100, JOHNS CREEK, GA 30097-4419
(678) 344-8700
(678) 344-8600
Mailing address
2878 FIVE FORKS TRICKUM RD, SUITE 2A, LAWRENCEVILLE, GA 30044-5896
(678) 344-8700
(678) 344-8600

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
05/25/2010
Last updated
08/19/2020
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