Canton Market Place Medical, LLC

NPI #1770958571 in Canton, Georgia

Provider Information

NPI Number: 1770958571
Entity Type: Organization
Organization Name: Canton Market Place Medical, LLC
Primary Specialty: Specialist
Enumeration Date: Dec 4, 2015
Last Updated: Dec 4, 2015

Practice Location

Address: 2050 CUMMING HWY
Address 2: SUITE 100
City: Canton
State: Georgia
ZIP Code: 30115-2314
Phone: (770) 674-6366

Authorized Official

Name: DR. DAVID ODORISIO, D.C,
Title: OWNER
Phone: (770) 674-6366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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