Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Canton Market Place Medical, LLC

Organization Specialist · NPI 1770958571

Canton Market Place Medical, LLC provides Specialist services 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 Not confirmed with CMS for 10 years — call before visiting
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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