Canton Market Place Medical, LLC
NPI 1770958571ActiveOrganization· Specialist· Canton, GA
Specialist in Canton, Georgia, registered in NPPES in December 2015. The authorized official on file is David Odorisio, D.C,, Owner.
Overview
| NPI | 1770958571 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2015 |
| Last updated in NPPES | Dec 4, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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