Dr Mark Carroll Guerdan, DO is a
Anesthesiology based in Riverdale, Georgia. Dr Mark Carroll Guerdan is licensed to practice in Georgia (license number 61081) and his current practice location is
6525 Professional Pl, Suite B, Riverdale, Georgia. He can be reached at his office (for appointments etc.) via phone at
(404) 254-5496.
NPI number for Dr Mark Carroll Guerdan is 1326089574 and his current mailing address is 6525 Professional Pl, Suite B, Riverdale, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326089574.
Provider's Profile
| Full Name | Dr Mark Carroll Guerdan |
|---|
| Gender | Male |
|---|
| Speciality | Anesthesiology |
|---|
| Location | 6525 Professional Pl, Riverdale, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1326089574
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 07/14/2014
Medical Identifiers
Medical identifiers for Dr Mark Carroll Guerdan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326089574 | NPI | - | NPPES |
| 003135346A | Medicaid | GA | |
| 003135345A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 31403 (Kentucky) | Secondary |
| 207L00000X | Anesthesiology | 62257 (New York) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 061081 (Georgia) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 061081 (Georgia) | Secondary |
| 207L00000X | Anesthesiology | 61081 (Georgia) | Primary |
| 208VP0000X | Pain Medicine - Pain Medicine | 61081 (Georgia) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 61081 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Carroll Guerdan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mark Carroll Guerdan, DO
6525 Professional Pl, Suite B,
Riverdale, GA 30274-2519
Ph: (404) 254-5496 | Dr Mark Carroll Guerdan, DO
6525 Professional Pl, Suite B,
Riverdale, GA 30274-2519
Ph: (404) 254-5496 |
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