Reagan Medical Center LLC

NPI #1972666253 in Dacula, Georgia

Provider Information

NPI Number: 1972666253
Entity Type: Organization
Organization Name: Reagan Medical Center LLC
Primary Specialty: Specialist
Enumeration Date: Dec 18, 2006
Last Updated: Oct 4, 2023

Practice Location

Address: 3685 BRASELTON HWY
Address 2: 100
City: Dacula
State: Georgia
ZIP Code: 30019-5920
Phone: (678) 546-9800

Authorized Official

Name: SATISH PODDAR, M.D.
Title: PHYSICIAN
Phone: (678) 546-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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