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L Mark Gustafson, MD
Otolaryngology Physician in Carrollton, Georgia
NPI 1073555629

L Mark Gustafson is a Otolaryngology Physician based in Carrollton, GA. L Mark Gustafson practices in Carrollton, GA and has the professional credentials of MD. The NPI Number for L Mark Gustafson is 1073555629 and holds a License No. 049795 (Georgia).

The current practice location address for L Mark Gustafson is 150 Clinic Ave, Carrollton, GA and can be reached out via phone at 770-832-1488.

Location: 150 Clinic Ave, Carrollton, GA, 30117-4401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073555629
Provider Name
L Mark Gustafson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
150 Clinic Ave, Carrollton, GA, 30117-4401
Phone Number
770-832-1488
Fax Number
Provider Enumeration Date
06/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
841043 01 GA BLUE CROSS CLUE SHIELD
00906463C 05 GA
00906463B 05 GA
institution
Provider Business Practice Location Address Details
Address
150 Clinic Ave
City
Carrollton
State
Georgia
Zip
30117-4401
Phone Number
770-832-1488
Fax Number
person
Provider Business Mailing Address Details
Address
150 Clinic Ave
City
Carrollton
State
Georgia
Zip
30117-4401
Phone Number
770-832-1488
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
049795 (Georgia)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
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