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1427055805
MARK R. LIGHT
MARIETTA, GA
NPI
1427055805
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: GA 00630)
Enumeration Date
2005-06-30
Last Update Date
2016-09-13
Business Address
Dr. MARK R. LIGHT DPM
4439 ROSWELL RD
MARIETTA, GA 30062-6452
Phone number: 770-977-8221
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Mailing Address
Dr. MARK R. LIGHT DPM
4439 ROSWELL RD
MARIETTA, GA 30062-6452
Phone number: 770-977-8221
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