Provider Demographics
NPI:1376259838
Name:MAAP LLC
Entity Type:Organization
Organization Name:MAAP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:POMAAH
Authorized Official - Last Name:OPOKU-AGYEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-662-7741
Mailing Address - Street 1:2000 POWERS FERRY RD SE STE 2128
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-1203
Mailing Address - Country:US
Mailing Address - Phone:678-768-8838
Mailing Address - Fax:
Practice Address - Street 1:2000 POWERS FERRY RD SE STE 2128
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-1203
Practice Address - Country:US
Practice Address - Phone:678-768-8838
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care