Dr. Mark R. Light is a Marietta, Georgia based male podiatrist with 35 years of experience in Podiatric Foot & Ankle Surgery. He completed his graduation in 1989. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mark R. Light for Podiatric Foot & Ankle Surgery is 00630 in Georgia. Dr. Mark R. Light provide comprehensive medical and surgical care for a wide spectrum of foot and ankle conditions, including common to complex disorders and injuries that affect people of all ages. He is uniquely qualified to detect the early stages of diseases that exhibit warning signs in the lower extremities, such as diabetes, arthritis and cardiovascular disease, and can manage foot conditions that may pose an ongoing threat to a patient’s overall health.
Complete Profile:
Dr. Mark R. Light speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist - Foot & Ankle Surgery
Credentials:
DPM
Experience:
35+ years
Medical School Attended:
Other
Graduation Year:
1989
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
4439 Roswell Rd, Marietta, Georgia, 30062-6452
Phone:
770-977-8221
Fax:
770-977-8222
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
2567520398
Enrollment ID:
I20081023000531
NPI Number:
1427055805
NPI Enumeration Date:
30 Jun, 2005
NPI Last Update On:
13 Sep, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mark R. Light are as mentioned below.
License Number
Specialization
State
Status
00630
Podiatric Foot & Ankle Surgery
Georgia
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mark R. Light such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000467618B
Medicaid
Georgia
3026473
Other
Georgia
AETNA HMO
005480
Other
Georgia
BCBS
4137290
Other
Georgia
AETNA PPO
480034802
Other
Georgia
RAILROAD MEDICARE
4830810001
Other
Georgia
DMERC
412063128
Other
Georgia
TAX ID #
REF000049272
Other
Georgia
PEACHCARE MEDICARE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
4439 Roswell Rd, Marietta, Georgia
Zip:
30062-6452
Phone Number:
770-977-8221
Fax Number:
770-977-8222
Patients can reach Dr. Mark R. Light at 4439 Roswell Rd, Marietta, Georgia or can call to book an appointment on 770-977-8221. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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