Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
L MARK GUSTAFSON, M.D.
ActiveL MARK GUSTAFSON, M.D. is a Otolaryngology healthcare provider located in CARROLLTON, Georgia. NPI 1073555629 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · CARROLLTON, GA
Registration Details
- NPI Number
- 1073555629
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2006 (20.210346574041 yrs)
- Last Updated
- Jul 18, 2022
- License
-
049795 (GA)
Practice Information
- Address
-
150 CLINIC AVESUITE 201CARROLLTON, GA, 301174401Browse GA providers · Browse ZIP 30117
- Phone
- 7708321488
- Primary Specialty
-
Otolaryngology
207Y00000X
Other Otolaryngology Providers in CARROLLTON, GA
| Name | Credential | NPI |
|---|---|---|
| JOHN C PEZOLD | M.D. | 1245272806 |
| DR. THOMAS COMSTOCK | M.D. | 1164576534 |
| DR. WILLIAM BRADLEY GAMBRELL | M.D. | 1013056985 |
| DR. CHRISTOPHER W. HARPER JR. | MD | 1407201486 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.