RELIANCE FAMILY CARE NPI 1689036949

NPI Information

NPI: 1689036949
Provider Name: RELIANCE FAMILY CARE
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
345 HUNTINGTON PLACE CT
MCDONOUGH, GA
ZIP 30253
Phone: (678) 272-7280
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RELIANCE FAMILY CARE is a family medicine in Mcdonough, 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. RELIANCE FAMILY CARE NPI is 1689036949. The provider is registered as an organization entity type.

The provider's business location address is:

345 HUNTINGTON PLACE CT
MCDONOUGH, GA
ZIP 30253-651
Phone: (678) 272-7280
Fax: (678) 610-6025

The provider's authorized official is Donna Pearson .
The authorized official title is Om and has the following contact phone number (770) 377-8874.

The enumeration date for this NPI number is 3/25/2016 and was last updated on 3/25/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332900000X	Non-Pharmacy Dispensing Site		053715	GEORGIA	No
2	207Q00000X	Family Medicine		053715	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	626586339B	MEDICAID	GEORGIA

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: 5/5/2024

NPI Synchronization or Removal

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