OrganizationReliance Family CareFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address345 Huntington Place Ct, Mcdonough, GA 30253-8651(678) 272-7280PECOS EnrollmentBased on the most recent information from CMS, provider Reliance Family Care does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1689036949Provider TypeOrganizationFull NameReliance Family CareSubpartNoEnumeration Date3/25/2016Last Updated3/25/2016Contact InformationPractice LocationPractice Address345 Huntington Place Ct, Mcdonough, GA 30253-8651Phone(678) 272-7280Fax(678) 610-6025Mailing LocationMailing Address345 Huntington Place Ct, Mcdonough, GA 30253-8651Phone(678) 272-7280Fax(678) 610-6025Authorized OfficialNamePearson, Donna (Om)Phone(770) 377-8874Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense053715GeorgiaCode332900000XDescriptionNon-Pharmacy Dispensing SiteSuppliersLicense053715GeorgiaProvider IdentifiersIDDescriptionIssuerID626586339BDescriptionMedicaidIssuerUnlistedGeorgia