OrganizationReliance Family CareFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address345 Huntington Place Ct, Mcdonough, GA 30253-8651(678) 272-7280(678) 610-6649PECOS 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 ID1699912113Provider TypeOrganizationFull NameReliance Family CareSubpartYesEnumeration Date1/21/2009Last Updated3/3/2011Contact InformationPractice LocationPractice Address345 Huntington Place Ct, Mcdonough, GA 30253-8651Phone(678) 272-7280Fax(678) 610-6025Mailing LocationMailing AddressPO Box 1100, Locust Grove, GA 30248-8651Phone(678) 610-6649Fax(678) 610-6025Authorized OfficialNameTrivedi, Nimisha J (Owner)Phone(678) 610-6649Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense053715GeorgiaProvider IdentifiersIDDescriptionIssuerID117518856BDescriptionMedicaidIssuerUnlistedGeorgia