East Cobb Podiatry Surgery Center, Llc in Marietta - Ambulatory Surgical
East Cobb Podiatry Surgery Center, Llc - NPI 1184819930
East Cobb Podiatry Surgery Center, Llc is a Ambulatory Surgical in Marietta, Georgia. East Cobb Podiatry Surgery Center, Llc practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for East Cobb Podiatry Surgery Center, Llc is 1184819930. The last update date is 2012-06-28.
East Cobb Podiatry Surgery Center, Llc'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 East Cobb Podiatry Surgery Center, Llc is 4439 Roswell Rd, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Cobb Podiatry Surgery Center, Llc |
|---|---|
| Address | 4439 Roswell Rd, Marietta, Georgia |
| Phone Number | 7709778221 |
| Fax Number | 7709778222 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Light R Mark |
| Credentials | D.P.M. |
| Telephone Number | 7709778221 |
NPI Number Detail
| NPI Number | 1184819930 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2012-06-28 |
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 | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 11C0001132 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
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What is the East Cobb Podiatry Surgery Center, Llc's 1184819930?
The East Cobb Podiatry Surgery Center, Llc's NPI (National Provider Identifier) Number is 1184819930. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where East Cobb Podiatry Surgery Center, Llc is physically located?
The East Cobb Podiatry Surgery Center, Llc is situated at the following address: 4439 Roswell Rd, Marietta, GA 300626452.
What is the area of specialization for East Cobb Podiatry Surgery Center, Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for East Cobb Podiatry Surgery Center, Llc is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 261Qa1903X.
When did East Cobb Podiatry Surgery Center, Llc receive its 1184819930 assignment?
The East Cobb Podiatry Surgery Center, Llc was assigned its 1184819930 on 2007-09-13, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding East Cobb Podiatry Surgery Center, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to East Cobb Podiatry Surgery Center, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-06-28.
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