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Contact Information

MARK B VANDEUSEN, MD
4150 DEPUTY BILL CANTRELL MEMORIAL RD
SUITE 260
CUMMING, GA30040
 Phone: 770-292-3045
 Fax: 770-292-3046
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for MARK B VANDEUSEN · (Male)

NPI # 1225271018
Status Active
Credentials MD
Entity Individual
Enumeration date 04/09/2009
Last updated 01/15/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers
  • GA License # 70919
Hospital affiliation(s)
  • NORTHSIDE HOSPITAL - (Acute Care)
    1000 JOHNSON FERRY ROAD, NE
    ATLANTA, GA 30342
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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