| Organization Name: | GREATER ALABAMA FAMILY FOOT CARE INC |
| NPI Number: | 1295940260 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONA RENELL GREEN (CEO) |
| Mailing Address: | 26 Veterans Memorial Pkwy Lanett |
| State: | AL US |
| Postal Code: | 368632840 |
| Phone Number: | 3346423668 |
| Fax Number: | 3346423669 |
| NPI Enumeration Date: | 05/13/2007 |
| NPI Last Update Date: | 03/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP1100X |
| License Number: | 193 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Podiatric |
| Taxonomy Definition: | |