Organization
REAGAN MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SATISH PODDAR MD (CEO)
(678) 344-8700
Entity
Organization
Contact information
Practice address
2696 LAWRENCEVILLE SUWANEE RD, SUWANEE, GA 30024-2535
(678) 344-8700
Mailing address
2878 FIVE FORKS TRICKUM RD, STE 2A, LAWRENCEVILLE, GA 30044-5896
(678) 344-8700
(678) 344-8600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207T00000X
Neurological Surgery Physician
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
07/30/2006
Last updated
04/05/2024
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