Individual
DR. MARK B VANDEUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260, CUMMING, GA 30040
(770) 292-3045
(770) 292-3046
Mailing address
4150 DEPUTY BILL CANTRELL MEMORIAL RD, SUITE 260, CUMMING, GA 30040
(315) 269-0291
(770) 292-3046
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
70919
GA
Other
Enumeration date
04/09/2009
Last updated
01/15/2026
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