Healthcare Provider Details

I. General information

NPI: 1164368635
Provider Name (Legal Business Name): RELIANT SCIENTIFIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1343 TERRELL MILL RD SE STE 376
MARIETTA GA
30067-5539
US

IV. Provider business mailing address

2150 S ILIOS PL # AZ
TUCSON AZ
85713-4193
US

V. Phone/Fax

Practice location:
  • Phone: 470-374-5021
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AWADH MOHAMMED
Title or Position: PRESIDENT
Credential:
Phone: 470-374-5021