Organization
REAGAN MEDICAL CENTER
Active
Other names
REAGAN MEDICAL CENTER IN SUWANEE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN BARTLETT HERRIN M.D. (PHYSICIAN)
(678) 654-3665
Entity
Organization
Contact information
Practice address
2696 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2535
(770) 771-5570
(770) 771-5571
Mailing address
2696 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2535
(770) 771-5570
(770) 771-5571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048008
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861412629
NPI
—
Enumeration date
10/04/2006
Last updated
07/21/2022
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