# RELIANCE FAMILY CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LOCUST GROVE FAMILY MEDICINE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699912113
- **Legal business name:** LOCUST GROVE FAMILY MEDICINE
- **Authorized official:** MRS. NIMISHA J TRIVEDI MD (OWNER)
- **Authorized official phone:** (678) 610-6649

## Contact information

- **Practice address:** 345 HUNTINGTON PLACE CT, MCDONOUGH, GA 30253-8651
- **Practice address phone:** (678) 272-7280
- **Practice address fax:** (678) 610-6025
- **Mailing address:** PO BOX 1100, LOCUST GROVE, GA 30248-8651
- **Mailing address phone:** (678) 610-6649
- **Mailing address fax:** (678) 610-6025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 053715 | GA | Yes |

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 03/03/2011