East Cobb Foot & Ankle Care P.C.
LBN: East Cobb Foot & Ankle Care P.C.
East Cobb Foot & Ankle Care P.C. is an health care organization with primary practice located at 4439 Roswell Rd , Marietta GA 30062-6452. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as the primary health care specialty.
East Cobb Foot & Ankle Care P.C. can be contacted via phone (770) 977-8221, or through Light, Mark R. via phone (770) 977-8221.
Contact Information
Primary practice address
4439 Roswell Rd
Marietta GA 30062-6452
Phone: (770) 977-8221
Fax: (770) 977-8222
Website:
Authorized official contact:
Name: Light, Mark R. Doctor of Podiatric Medicine (DPM)
Phone: (770) 977-8221
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 630 | Georgia |
Profile Details
| NPI number | 1184770133 |
|---|---|
| LBN Legal business name | East Cobb Foot & Ankle Care P.C. |
| DBA Doing business as | |
| Authorized official | Light, Mark R. Doctor of Podiatric Medicine (DPM) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | May 29th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184770133 | NPPES |
| Georgia | Other | 005480 | BCBS |
| Georgia | MEDICAID | 000467618B | BCBS |
| Georgia | Other | 480034802 | BCBS |
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