Provider Demographics
NPI:1891854865
Name:ARTIS, APRIL LAVERNE (MD)
Entity Type:Individual
Prefix:DR
First Name:APRIL
Middle Name:LAVERNE
Last Name:ARTIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4890 ROSWELL RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2606
Mailing Address - Country:US
Mailing Address - Phone:404-845-1200
Mailing Address - Fax:404-845-1250
Practice Address - Street 1:4890 ROSWELL RD
Practice Address - Street 2:SUITE 250
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2606
Practice Address - Country:US
Practice Address - Phone:404-845-1200
Practice Address - Fax:404-845-1250
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA38671207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11BDJVRMedicare ID - Type Unspecified
GAG13516Medicare UPIN