Provider Demographics
NPI:1629206529
Name:MADU, APRIL MARIE F (DO)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:MARIE F
Last Name:MADU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:APRIL
Other - Middle Name:MARIE
Other - Last Name:FERCHAUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:2720 E CLAYTON DR
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-3504
Mailing Address - Country:US
Mailing Address - Phone:800-993-8244
Mailing Address - Fax:855-684-6065
Practice Address - Street 1:2720 E CLAYTON DR
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-3504
Practice Address - Country:US
Practice Address - Phone:800-993-8244
Practice Address - Fax:855-684-6065
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA066175207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003141572CMedicaid
GA003141572AMedicaid
GA1609816123OtherGROUP NPI # GEORGIA CLINIC PC
GA003141572BMedicaid
GA003141572CMedicaid