Reliance Family Care | |
345 Huntington Place Ct Mcdonough GA 30253-8651 | |
(678) 272-7280 | |
(678) 610-6025 |
Full Name | Reliance Family Care |
---|---|
Speciality | Family Medicine |
Location | 345 Huntington Place Ct, Mcdonough, Georgia |
Authorized Official Name and Position | Donna Pearson (OM) |
Authorized Official Contact | 7703778874 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reliance Family Care 345 Huntington Place Ct Mcdonough GA 30253-8651 Ph: (678) 272-7280 | Reliance Family Care 345 Huntington Place Ct Mcdonough GA 30253-8651 Ph: (678) 272-7280 |
NPI Number | 1689036949 |
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Provider Enumeration Date | 03/25/2016 |
Last Update Date | 03/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689036949 | NPI | - | NPPES |
626586339B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 053715 (Georgia) | Primary |
332900000X | Non-pharmacy Dispensing Site | 053715 (Georgia) | Secondary |
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