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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