NPI age
19 years
Enumerated 2007-05-13
● Active Type 2 · Organization
South Fulton Family Foot Care, Inc.
South Fulton Family Foot Care, Inc. is 1 of 45 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Green
Ceo
Last NPPES update
2008-04-20
Source: monthly bulk 2026-05
How this organization compares
Across 45 active clinic/center providers in Georgia.
NPI age
19 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
67 W Campbellton St
Fairburn, GA 302131338
Mailing address
Po Box 188
Fairburn, GA 302130188
Authorized official
Rona Renell Green, DPM
Ceo
📞 7709642201
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 4355747 | GA AETNA PPO NUMBER |
| 01 (GA) | 451998 | GA BCBS NUMBER |
| 01 (GA) | 697 | GA STATE LICENSE NUMBER |
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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