L Mark Gustafson
Otolaryngologist (ENT Doctor)
150 Clinic Ave Suite 201
Carrollton
, Georgia 30117-4401
L Mark Gustafson
Otolaryngologist (ENT Doctor)
150 Clinic Ave Suite 201
Carrollton
, Georgia 30117-4401
(770) 832-1488
Write a Review Share Save Call
About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- L Mark Gustafson
- 150 Clinic Ave Suite 201
- Carrollton, GA
- Zip : 30117-4401
- Phone : (770) 832-1488
Second Address
- L Mark Gustafson
- 150 Clinic Ave Suite 201
- Carrollton, GA
- Zip : 30117-4401
- Phone : (770) 832-1488
Reviews
FAQs
Where did L Mark Gustafson attend graduate school?
Where did L Mark Gustafson do his residency?
Where did L Mark Gustafson do his fellowship?
Is L Mark Gustafson board certified?
What type of doctor is L Mark Gustafson
In what state does L Mark Gustafson practice in?
Where is L Mark Gustafson ’s practice located?
What is L Mark Gustafson ’s gender?
Is L Mark Gustafson a sole practitioner?
Is L Mark Gustafson accepting new patients?
What languages does L Mark Gustafson speak?
Does L Mark Gustafson accept insurance?
Does L Mark Gustafson offers telemedicine?
What is L Mark Gustafson ’s professional license number?
What is L Mark Gustafson ’s NPI number?
Does L Mark Gustafson have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 049795 | GA |
National Provider Identifier
| NPI | 1073555629 |
|---|---|
| Provider Name | L Mark Gustafson |
| First Address | Carrollton, GA 30117-4401 |
| Second Address | Carrollton, GA 30117-4401 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/06/2006 |
| Last Update Date | 21/09/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00906463B | (05) | GA |
| 00906463C | (05) | GA |
| 841043 | BLUE CROSS CLUE SHIELD (01) | GA |
| H43277 | (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.