Organization
ETOWAH EYE CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PARKER MARKS JR. M.D. (OWNER PHYSICIAN)
(678) 880-0662
Entity
Organization
Contact information
Practice address
125 OAKSIDE CT, SUITE 102, CANTON, GA 30114-2498
(678) 880-0662
(678) 880-0675
Mailing address
125 OAKSIDE CT, SUITE 102, CANTON, GA 30114-2498
(678) 880-0662
(678) 880-0675
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
030829
GA
Other
Enumeration date
04/11/2007
Last updated
01/15/2008
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