EAST COBB PODIATRY SURGERY CENTER, LLC
Ambulatory Health at Roswell Rd, Marietta, GA

License number
Georgia 11C0001132
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: DR. MARK R LIGHT D.P.M.
Title: PHYSICIAN
Phone: (770) 977-8221
Address
Address
4439 Roswell Rd, Marietta, GA 30062
National Provider ID: 1184819930
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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EAST COBB PODIATRY SURGERY CENTER, LLC

4439 Roswell Rd, Marietta, GA 30062

Industry:
Medical Doctor's Office
Doing business as:
East Cobb Podiatry Surgery Center
Registration:
Mar 16, 2009
State ID:
09023101
Business type:
Domestic Limited Liability Company
Assistants:
Mark Light (Medical Doctor),Denise Leon Office Manager, inactive,Debbie Stack Office Manager, inactive,...

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