L Mark Gustafson, MD
L Mark Gustafson, MD is an Otolaryngology in Carrollton, Georgia. Qualified in 1996, 30 years ago. Practices with Tanner Medical Group Inc, a 120-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 30
- Licensed in
- GA
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
150 Clinic Ave Ste 201Carrollton, GA 30117-4401
Phone: (770) 832-1488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology Physician (primary) | Taxonomy 207Y00000X · Licence 049795 (GA) |
|---|
Record details
| NPI number | 1073555629 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 11, 2006 |
| Last updated in NPPES | July 18, 2022 |
| Certification date | July 18, 2022 |
| Mailing address | 150 Clinic Ave, Suite 201, Carrollton, GA 30117-4401 |
Medicare enrollment
| Medicare specialty | OTOLARYNGOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 1996 (30 years in practice) |
| Group practice | Tanner Medical Group Inc — 120 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Carrollton
-
Carrollton Ear, Nose and Throat, PC
150 Clinic Ave Ste 201, Carrollton, GA 30117-4401 · (770) 832-1488
-
Dr. William Bradley Gambrell, MD
150 Clinic Ave Ste 201, Carrollton, GA 30117-4401 · (770) 832-1488
-
John C Pezold, MD
150 Clinic Ave Ste 201, Carrollton, GA 30117-4401 · (770) 832-1488