Provider Demographics
NPI:1740021302
Name:RELIANCE MEDICAL CENTER INC
Entity type:Organization
Organization Name:RELIANCE MEDICAL CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GURLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-860-8111
Mailing Address - Street 1:4474 VALTEK CT
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6209
Mailing Address - Country:US
Mailing Address - Phone:708-860-8111
Mailing Address - Fax:
Practice Address - Street 1:335 PEACHTREE INDUSTRIAL BLVD STE 2204
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-3721
Practice Address - Country:US
Practice Address - Phone:404-537-4409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care