CANTON MARKET PLACE MEDICAL, LLC
NPI 1770958571
Specialist in Canton, GA

Active since December 04, 2015
2050 CUMMING HWY, SUITE 100, CANTON, GA 30115(770) 674-6366 Get Directions Write a Review

NPPES record last updated: December 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Canton Market Place Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANTON MARKET PLACE MEDICAL, LLC (NPI 1770958571) is a healthcare organization registered as a specialist in Canton, Georgia and active in the NPI registry since December 2015. The organization lists David Odorisio, Owner, as its authorized official.

NPPES Registry Identity

NPI1770958571
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCANTON MARKET PLACE MEDICAL, LLC
Location Address2050 CUMMING HWY, SUITE 100Canton, GA 30115-2314
Mailing Address151 W Main St, Suite 204Canton, GA 30114-2757
Organization SubpartNo
Authorized OfficialDavid OdorisioOwner · (770) 674-6366
Enumeration DateDecember 4, 2015
NPI 1770958571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
2050 CUMMING HWY, Canton, GA 30115

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2050 CUMMING HWY, SUITE 100
CANTON, GA 30115
General Practice
2050 CUMMING HWY, SUITE 100
CANTON, GA 30115
Chiropractor
2050 CUMMING HWY
CANTON, GA 30115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Canton Market Place Medical, LLC's NPI number?

The NPI number for Canton Market Place Medical, LLC is 1770958571. It was assigned to this organization in the NPPES registry on December 4, 2015.

Where is Canton Market Place Medical, LLC located?

Canton Market Place Medical, LLC is located at 2050 Cumming Hwy Suite 100, Canton, GA 30115. The listed phone number is (770) 674-6366.

What is Canton Market Place Medical, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Canton Market Place Medical, LLC was last updated on December 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.