| Reliance Health And Home Physician Services, Inc. | |
|
625 Carver Rd Griffin GA 30224-3937 | |
| (770) 227-9222 | |
| (770) 227-9009 |
| Full Name | Reliance Health And Home Physician Services, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 625 Carver Rd, Griffin, Georgia |
| Authorized Official Name and Position | Tammie Steward (ADMINISTRATOR) |
| Authorized Official Contact | 6789533528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliance Health And Home Physician Services, Inc. Po Box 1454 Griffin GA 30224-0034 Ph: (770) 227-9222 | Reliance Health And Home Physician Services, Inc. 625 Carver Rd Griffin GA 30224-3937 Ph: (770) 227-9222 |
| NPI Number | 1740638436 |
|---|---|
| Provider Enumeration Date | 06/02/2016 |
| Last Update Date | 02/22/2022 |
| Medicare PECOS PAC ID | 4385920107 |
|---|---|
| Medicare Enrollment ID | O20170411000111 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740638436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Gerald J Bohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811991706 PECOS PAC ID: 0143416743 Enrollment ID: I20101122000838 |
| Provider Name | Patrick Narh-martey |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1891074464 PECOS PAC ID: 9739469719 Enrollment ID: I20161208001580 |
| Provider Name | Nballu Goba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386169241 PECOS PAC ID: 7618223355 Enrollment ID: I20180724004214 |
| Provider Name | Stephanie Collier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073112249 PECOS PAC ID: 0143219741 Enrollment ID: I20210716000537 |
| Provider Name | Sara Saavedra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548896426 PECOS PAC ID: 2567867161 Enrollment ID: I20210819002456 |
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