NPI 1467771832

Reagan Medical Center

Organisation Specialist Johns Creek, GA

Practice location

Address: 10160 Medlock Bridge Rd Suite 100, Johns Creek, GA 30097-4419
Phone: (678) 344-8700
Fax: (678) 344-8600
Mailing address: 2878 Five Forks Trickum Rd Suite 2a, Lawrenceville, GA 30044-5896

Authorised official

Name: Satish Poddar
Title: Ceo
Phone: (678) 344-8700

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

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Registry record

NPI: 1467771832
Entity type: Organization
NPI issued: 25 May 2010
Record last updated: 19 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.