Reagan Medical Center

NPI #1467771832 in Johns Creek, Georgia

Provider Information

NPI Number: 1467771832
Entity Type: Organization
Organization Name: Reagan Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: REAGAN MEDICAL CENTER
Primary Specialty: Specialist
Enumeration Date: May 25, 2010
Last Updated: Aug 19, 2020

Practice Location

Address: 10160 MEDLOCK BRIDGE RD
Address 2: SUITE 100
City: Johns Creek
State: Georgia
ZIP Code: 30097-4419
Phone: (678) 344-8700

Authorized Official

Name: MR. SATISH PODDAR, MD
Title: CEO
Phone: (678) 344-8700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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