Provider Demographics
NPI:1629271556
Name:MAA, APRIL YAUGUANG (MD)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:YAUGUANG
Last Name:MAA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2308 FISHER TRL NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30345-3434
Mailing Address - Country:US
Mailing Address - Phone:404-219-9238
Mailing Address - Fax:404-728-1115
Practice Address - Street 1:1670 CLAIRMONT ROAD
Practice Address - Street 2:ATLANTA VAMC
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033
Practice Address - Country:US
Practice Address - Phone:404-321-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA06632207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA06632OtherSTATE OF GEORGIA LICENSE NUMBER