| Reagan Medical Center | |
|
2696 Lawrenceville Suwanee Rd Suwanee GA 30024-2535 | |
| (770) 771-5570 | |
| (770) 771-5571 |
| Full Name | Reagan Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 2696 Lawrenceville Suwanee Rd, Suwanee, Georgia |
| Authorized Official Name and Position | Sean Bartlett Herrin (PHYSICIAN) |
| Authorized Official Contact | 6786543665 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reagan Medical Center 2696 Lawrenceville Suwanee Rd Suwanee GA 30024-2535 Ph: (770) 771-5570 | Reagan Medical Center 2696 Lawrenceville Suwanee Rd Suwanee GA 30024-2535 Ph: (770) 771-5570 |
| NPI Number | 1649365750 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649365750 | NPI | - | NPPES |
| 1861412629 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 048008 (Georgia) | Primary |
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