Mark R. Light is a Foot & Ankle Surgery Podiatrist based in Marietta, GA and is specialized in Foot & Ankle Surgery. Mark R. Light practices in Marietta, GA and has the professional credentials of DPM. The NPI Number for Mark R. Light is 1427055805 and holds a License No. 00630 (Georgia).
The current practice location address for Mark R. Light is 4439 Roswell Rd, Marietta, GA and can be reached out via phone at 770-977-8221 and via fax at 770-977-8222.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000467618B | 05 | GA | |
| 3026473 | 01 | GA | AETNA HMO |
| 005480 | 01 | GA | BCBS |
| 4137290 | 01 | GA | AETNA PPO |
| 480034802 | 01 | GA | RAILROAD MEDICARE |
| 4830810001 | 01 | GA | DMERC |
| 412063128 | 01 | GA | TAX ID # |
| REF000049272 | 01 | GA | PEACHCARE MEDICARE |
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