Individual provider · Type 1 NPI
Rona Renell Green, DPM
Foot & Ankle Surgery Podiatrist · Fairburn, GA
NPI number
1659467223
Active
Practice location
67 W. Campbellton St.
Fairburn, GA 30213
Fax (770) 306-9744
Mailing address
PO Box 188
Fairburn, GA 30213-0188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 000697 (GA) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | 000697 (GA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1659467223
Rona Renell Green, DPM's National Provider Identifier is 1659467223, issued on Oct 4, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fairburn, GA. The record was last updated on Apr 24, 2008.