J. Mark Rheudasil
Vascular Surgeon
5673 Peachtree Dunwoody Rd Ne Suite 675
Atlanta
, Georgia 30342-1731
J. Mark Rheudasil
Vascular Surgeon
5673 Peachtree Dunwoody Rd Ne Suite 675
Atlanta
, Georgia 30342-1731
(770) 995-7854
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- J. Mark Rheudasil
- 1838 American Way
- Lawrenceville, GA
- Zip : 30043-6611
- Fax : (770) 995-7854
- Phone : (770) 995-7622
Second Address
- J. Mark Rheudasil
- 5673 Peachtree Dunwoody Rd Ne Suite 675
- Atlanta, GA
- Zip : 30342-1731
- Fax : (678) 843-5449
- Phone : (678) 843-5400
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Is J. Mark Rheudasil a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | 026926 | GA |
National Provider Identifier
| NPI | 1033184767 |
|---|---|
| Provider Name | J. Mark Rheudasil |
| First Address | Lawrenceville, GA 30043-6611 |
| Second Address | Atlanta, GA 30342-1731 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/02/2006 |
| Last Update Date | 23/09/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000635302 | (05) | GA |
| 000635302J | (05) | GA |
| 000635302K | (05) | GA |
| 000635302L | (05) | GA |
| 000635302M | (05) | GA |
| 000635302N | (05) | GA |
| 000635302O | (05) | GA |
| 000635302P | (05) | GA |
| 000635302Q | (05) | GA |
| 000635302R | (05) | GA |
| 000635302S | (05) | GA |
| E10529 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.