Organization · Type 2 NPI

Canton Market Place Medical, LLC

Specialist · Canton, GA

NPI number 1770958571 Active

Practice location

2050 Cumming Hwy, Suite 100
Canton, GA 30115-2314

Call (770) 674-6366 Map

Mailing address

151 W Main St, Suite 204
Canton, GA 30114-2757

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3 other providers at this address

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About NPI 1770958571

Canton Market Place Medical, LLC's National Provider Identifier is 1770958571, issued on Dec 4, 2015. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Canton, GA. The record was last updated on Dec 4, 2015.