Healthcare Provider Details

I. General information

NPI: 1952323057
Provider Name (Legal Business Name): RELIANT HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1406 BROADRICK DRIVE
DALTON GA
30720
US

IV. Provider business mailing address

6 OFFICE CIRCLE STE 100
BIRMINGHAM AL
35223
US

V. Phone/Fax

Practice location:
  • Phone: 706-272-6480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number
License Number State

VIII. Authorized Official

Name: JAMES T HARPER
Title or Position: PRESIDENT
Credential:
Phone: 205-313-0445