L Mark Gustafson, M.D.
NPI #1073555629 in Carrollton, Georgia
Provider Information
- NPI Number
- 1073555629
- Entity Type
- Individual
- Name
- L Mark Gustafson, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Otolaryngology
- Credential
- M.D.
- Enumeration Date
- Jun 11, 2006
- Last Updated
- Jul 18, 2022
Practice Location
- Address
- 150 CLINIC AVE
- Address 2
- SUITE 201
- City
- Carrollton
- State
- Georgia
- ZIP Code
- 30117-4401
- Phone
- (770) 832-1488
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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Organizations
| Provider Name | |
|---|---|
| Carrollton Ear, Nose and Throat, P.c. | AI Deep Dive |
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