Mark R. Light in Marietta - Foot & Ankle Surgery
Mark R. Light - NPI 1427055805
Mark R. Light is a Foot & Ankle Surgery in Marietta, Georgia. Mark R. Light practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Mark R. Light is 1427055805. The last update date is 2016-09-13.
Mark R. Light's current location address is 4439 Roswell Rd, Marietta, Georgia. You can contact this provider via phone number 7709778221 and fax number 7709778222. The mailing address for Mark R. Light is 4439 Roswell Rd, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R. Light |
|---|---|
| Address | 4439 Roswell Rd, Marietta, Georgia |
| Phone Number | 7709778221 |
| Fax Number | 7709778222 |
| Sole Proprietor | N |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1427055805 |
|---|---|
| Provider Enumeration Date | 2005-06-30 |
| Last Updated Date | 2016-09-13 |
Provider Mailing Address Detail
| Address | 4439 Roswell Rd |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300626452 |
| Phone Number | 7709778221 |
| Fax Number | 7709778222 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | 630 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000467618B | GA | -- | |
| 3026473 | GA | AETNA HMO | |
| 5480 | GA | BCBS | |
| 4137290 | GA | AETNA PPO | |
| 480034802 | GA | RAILROAD MEDICARE | |
| 4830810001 | GA | DMERC | |
| 412063128 | GA | TAX ID # | |
| REF000049272 | GA | PEACHCARE MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Mark R. Light by the Centers for Medicare & Medicaid Services?
The Mark R. Light has been assigned the NPI (National Provider Identifier) 1427055805. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mark R. Light?
The Mark R. Light is situated at 4439 Roswell Rd, in the city of Marietta, state of GA, with the zip code 300626452.
What is Mark R. Light's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mark R. Light is Foot & Ankle Surgery, and the corresponding taxonomy classification code for this specialized field is 213Es0103X.
On what date did the Centers for Medicare & Medicaid Services issue the 1427055805 to Mark R. Light?
The Mark R. Light received its 1427055805 assignment from the Centers for Medicare & Medicaid Services on 2005-06-30.
As of what date was the information regarding Mark R. Light, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark R. Light, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-09-13.