Organization
RELIANCE FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA PEARSON RMA,CPC (OM)
(770) 377-8874
Entity
Organization
Contact information
Practice address
345 HUNTINGTON PLACE CT, MCDONOUGH, GA 30253-8651
(678) 272-7280
(678) 610-6025
Mailing address
345 HUNTINGTON PLACE CT, MCDONOUGH, GA 30253-8651
(678) 272-7280
(678) 610-6025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
053715
GA
332900000X
Non-Pharmacy Dispensing Site
053715
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626586339B
—
GA
Enumeration date
03/25/2016
Last updated
03/25/2016
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