Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Canton Market Place Medical, LLC

Organization Specialist · NPI 1770958571

Canton Market Place Medical, LLC is a Specialist in Canton, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2050 Cumming Hwy Ste 100
Canton, GA 30115-2314
Phone: (770) 674-6366
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (GA)

Record details

NPI number1770958571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Odorisio — Owner · (770) 674-6366
NPI enumeratedDecember 4, 2015
Last updated in NPPESDecember 4, 2015
Mailing address151 W Main St, Suite 204, Canton, GA 30114-2757

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