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 MD (MD)
(678) 344-8700
Entity
Organization
Contact information
Practice address
426 EXCHANGE BLVD STE 500, BETHLEHEM, GA 30620-1797
(678) 999-2299
Mailing address
2878 FIVE FORKS TRICKUM RD STE 2A, LAWRENCEVILLE, GA 30044-5896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
08/24/2020
Last updated
08/26/2020
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