East Cobb Podiatry Surgery Center, LLC

NPI #1184819930 in Marietta, Georgia

Provider Information

NPI Number
1184819930
Entity Type
Organization
Organization Name
East Cobb Podiatry Surgery Center, LLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Sep 13, 2007
Last Updated
Jun 28, 2012

Practice Location

Address
4439 ROSWELL RD
State
Georgia
ZIP Code
30062-6452
Phone
(770) 977-8221

Authorized Official

Name
DR. MARK R LIGHT, D.P.M.
Title
PHYSICIAN
Phone
(770) 977-8221

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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