Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fairburn Southpark Medical and Surgical Clinic

Organization Clinic/Center · NPI 1780739318

Fairburn Southpark Medical and Surgical Clinic is a Clinic/Center in Fairburn, Georgia. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

204 Senoia Rd
Fairburn, GA 30213-1536
Phone: (770) 964-9759
Fax: (770) 964-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1780739318
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renato Souza — President Treasurer · (770) 964-9759
Other names R.C.Souza, Md,Pc
NPI enumeratedJanuary 24, 2007
Last updated in NPPESAugust 22, 2020
Mailing address204 Senoia Rd, Fairburn, GA 30213-1536

Other providers in Fairburn