# J. MARK RHEUDASIL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1033184767
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | 026926 | GA | — |
| 2086S0129X | Vascular Surgery Physician | 026926 | GA | Yes |

## Other

- **Enumeration date:** 02/17/2006
- **Last updated:** 09/23/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000635302 | — | GA |
| 05 | — | 000635302J | — | GA |
| 05 | — | 000635302K | — | GA |
| 05 | — | 000635302L | — | GA |
| 05 | — | 000635302M | — | GA |
| 05 | — | 000635302N | — | GA |
| 05 | — | 000635302O | — | GA |
| 05 | — | 000635302P | — | GA |
| 05 | — | 000635302Q | — | GA |
| 05 | — | 000635302R | — | GA |
| 05 | — | 000635302S | — | GA |