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REAGAN MEDICAL CENTER LLC NPI 1952316747


NPI Information

NPI: 1952316747
Provider Name: REAGAN MEDICAL CENTER LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D2177464

Address:
2696 LAWRENCEVILLE SUWANEE RD
SUWANEE, GA
ZIP 30024
Phone: (678) 344-8700
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REAGAN MEDICAL CENTER LLC is a family medicine in Suwanee, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. REAGAN MEDICAL CENTER LLC NPI is 1952316747. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2696 LAWRENCEVILLE SUWANEE RD
SUWANEE, GA
ZIP 30024-535
Phone: (678) 344-8700

The provider's authorized official is Satish Poddar .
The authorized official title is Ceo and has the following contact phone number (678) 344-8700.

The CLIA number assigned to this NPI record is 11D2177464 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 4/5/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207T00000XNeurological SurgeryNo
3225100000XPhysical TherapistNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.