Rheudasil, J. Mark

Rheudasil, J. Mark is an individual health care provider with primary practice located at 5673 Peachtree Dunwoody Rd Ne Suite 675, Atlanta GA 30342-1731. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Rheudasil, J. Mark can be contacted via phone (678) 843-5400.

Contact Information

Primary practice address
5673 Peachtree Dunwoody Rd Ne Suite 675 Atlanta GA 30342-1731
Phone: (678) 843-5400
Fax: (678) 843-5449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 026926 Georgia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 026926 Georgia

Profile Details

NPI number 1033184767
LBN Legal business name Rheudasil, J. Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Sep 23rd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033184767 NPPES
Georgia MEDICAID 000635302
Georgia MEDICAID 000635302Q
Georgia MEDICAID 000635302S
Georgia MEDICAID 000635302K
Georgia MEDICAID 000635302L
Georgia MEDICAID 000635302M
Georgia MEDICAID 000635302O
Georgia MEDICAID 000635302P
Georgia MEDICAID 000635302J
Georgia MEDICAID 000635302N
Georgia MEDICAID 000635302R

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