South Fulton Family Foot Care, Inc.

LBN: South Fulton Family Foot Care, Inc.
South Fulton Family Foot Care, Inc. is an health care organization with primary practice located at 67 W Campbellton St , Fairburn GA 30213-1338. The organization recently has only one registered license in Ambulatory Health Care Facilities / Podiatric, which is considered as the primary health care specialty. South Fulton Family Foot Care, Inc. can be contacted via phone (770) 964-2201, or through Green, Rona Renell via phone (770) 964-2201.

Contact Information

Primary practice address
67 W Campbellton St Fairburn GA 30213-1338
Phone: (770) 964-2201
Fax: (770) 306-9744
Website:
Map and Directions
Authorized official contact:
Name: Green, Rona Renell Doctor of Podiatric Medicine (DPM)
Phone: (770) 964-2201

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Podiatric 261QP1100X 697 Georgia

Profile Details

NPI number 1154536126
LBN Legal business name South Fulton Family Foot Care, Inc.
DBA Doing business as
Authorized official Green, Rona Renell Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2007
Last updated Apr 20th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154536126 NPPES
Georgia Other 4355747 GA AETNA PPO NUMBER
Georgia Other 451998 GA AETNA PPO NUMBER
Georgia Other 697 GA AETNA PPO NUMBER

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