| 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 | Nimisha J Trivedi (OWNER) |
| Authorized Official Contact | 6786106649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliance Family Care Po Box 1100 Locust Grove GA 30248-8651 Ph: (678) 610-6649 | Reliance Family Care 345 Huntington Place Ct Mcdonough GA 30253-8651 Ph: (678) 272-7280 |
| NPI Number | 1699912113 |
|---|---|
| Provider Enumeration Date | 01/21/2009 |
| Last Update Date | 03/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699912113 | NPI | - | NPPES |
| 117518856B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 053715 (Georgia) | Primary |
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