institution
South Fulton Family Foot Care, Inc.
Podiatric Clinic/Center in Fairburn, Georgia
NPI 1154536126

South Fulton Family Foot Care, Inc. is a Podiatric Clinic/Center based in Fairburn, GA and is specialized in Podiatric. South Fulton Family Foot Care, Inc. practices in Fairburn, GA. The NPI Number for South Fulton Family Foot Care, Inc. is 1154536126 and holds a License No. 697 (Georgia).

The current practice location address for South Fulton Family Foot Care, Inc. is 67 W Campbellton St, Fairburn, GA and can be reached out via phone at 770-964-2201 and via fax at 770-306-9744.

Location: 67 W Campbellton St, Fairburn, GA, 30213-0188
institution
Provider Profile Details
NPI Number
1154536126
Provider Name
South Fulton Family Foot Care, Inc.
Credential
Provider Entity Type
Organization
Address
67 W Campbellton St, Fairburn, GA, 30213-0188
Phone Number
770-964-2201
Fax Number
770-306-9744
Provider Enumeration Date
05/13/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
4355747 01 GA GA AETNA PPO NUMBER
451998 01 GA GA BCBS NUMBER
697 01 GA GA STATE LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
67 W Campbellton St
City
State
Zip
30213-1338
Phone Number
770-964-2201
Fax Number
770-306-9744
person
Provider Business Mailing Address Details
Address
67 W Campbellton St
City
State
Zip
30213-1338
Phone Number
770-964-2201
Fax Number
770-306-9744
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
License No.
697 (Georgia)
Definition
Definition to come...
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