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Dr. Rona Renell Green, DPM
Foot & Ankle Surgery Podiatrist in Fairburn, Georgia
NPI 1659467223

Rona Renell Green is a Foot & Ankle Surgery Podiatrist based in Fairburn, GA and is specialized in Foot & Ankle Surgery. Rona Renell Green practices in Fairburn, GA and has the professional credentials of DPM. The NPI Number for Rona Renell Green is 1659467223 and holds a License No. 000697 (Georgia).

The current practice location address for Rona Renell Green 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
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659467223
Provider Name
Rona Renell Green
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
67 W. Campbellton St., Fairburn, GA, 30213-0188
Phone Number
770-964-2201
Fax Number
770-306-9744
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
25127 01 GA COVENTRY GEORGIA
000558467A 05 GA
451998 01 GA BCBS GEORGIA
51510661 01 AL AL BLUE CROSS BLUE SHEILD
57106 01 GA TRICARE GEORGIA
2700177 01 GA UNITED HEALTH CARE GA
4355747 01 GA AETNA GEORGIA
515129440 01 AL AL BCBS (ROANOKE OFFICE)
institution
Provider Business Practice Location Address Details
Address
67 W. Campbellton St.
City
Fairburn
State
Georgia
Zip
30213
Phone Number
770-964-2201
Fax Number
770-306-9744
person
Provider Business Mailing Address Details
Address
67 W. Campbellton St.
City
Fairburn
State
Georgia
Zip
30213
Phone Number
770-964-2201
Fax Number
770-306-9744
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
000697 (Georgia)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
000697 (Georgia)
Definition
Definition to come...
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