South Fulton Family Foot Care, Inc. in Fairburn - Podiatric
South Fulton Family Foot Care, Inc. - NPI 1154536126
South Fulton Family Foot Care, Inc. is a Podiatric in Fairburn, Georgia. South Fulton Family Foot Care, Inc. practices all healthcare services and medical treatments related to Podiatric. The NPI Number for South Fulton Family Foot Care, Inc. is 1154536126. The last update date is 2008-04-20.
South Fulton Family Foot Care, Inc.'s current location address is Po Box 188, Fairburn, Georgia. You can contact this provider via phone number 7709642201 and fax number 7703069744. The mailing address for South Fulton Family Foot Care, Inc. is Po Box 188, Fairburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Fulton Family Foot Care, Inc. |
|---|---|
| Address | Po Box 188, Fairburn, Georgia |
| Phone Number | 7709642201 |
| Fax Number | 7703069744 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Green Renell Rona |
| Credentials | DPM |
| Telephone Number | 7709642201 |
NPI Number Detail
| NPI Number | 1154536126 |
|---|---|
| Provider Enumeration Date | 2007-05-13 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | Po Box 188 |
|---|---|
| City | Fairburn |
| State | Georgia (GA) |
| Post Code | 302130188 |
| Phone Number | 7709642201 |
| Fax Number | 7703069744 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatric |
|---|---|
| Taxonomy | 261Qp1100X |
| Licence No | 697 |
|
Definition: Provides conservative and surgical foot and ankle care. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4355747 | GA | GA AETNA PPO NUMBER | |
| 451998 | GA | GA BCBS NUMBER | |
| 697 | GA | GA STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to South Fulton Family Foot Care, Inc. by the Centers for Medicare & Medicaid Services?
The South Fulton Family Foot Care, Inc. has been assigned the NPI (National Provider Identifier) 1154536126 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of South Fulton Family Foot Care, Inc.?
The South Fulton Family Foot Care, Inc. is situated at Po Box 188, in the city of Fairburn, state of GA, with the zip code 302130188.
What is South Fulton Family Foot Care, Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The South Fulton Family Foot Care, Inc.'s area of specialization is Podiatric, and the corresponding taxonomy code that categorizes this field of practice is 261Qp1100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1154536126 to South Fulton Family Foot Care, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1154536126 to South Fulton Family Foot Care, Inc. on 2007-05-13.
When was the information related to South Fulton Family Foot Care, Inc. most recently updated or refreshed?
The details pertaining to the South Fulton Family Foot Care, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-20.
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