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NPI Code Detail

MEDICARE: DR. GRACE YU-CHUN MA M. D.

MEDICARE: DR. GRACE YU-CHUN MA M. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0122XPlastic and Reconstructive Surgery Physician047345GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13127353OTHERGAAETNA
2108975554092OTHERGAHUMANA
352702749OTHERGABCBS
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
52153894OTHERGACIGNA

General Provider Information

NPI Number : 1992707335
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GRACE YU-CHUN MA M. D.
Provider Business Mailing Address
First Line : 3131 MAPLE DR NE STE 100
Second Line :
City : ATLANTA
State : GA
Zip : 30305-2515
Country : US
Telephone Number : 404-841-8450
Fax Number : 404-841-8453
Provider Business Practice Location Address
First Line : 3131 MAPLE DR NE STE 100
Second Line :
City : ATLANTA
State : GA
Zip : 30305-2515
Country : US
Telephone Number : 404-841-8450
Fax Number : 404-841-8453
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2005
Last Update Date : 02/17/2015

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Directions to “ DR. GRACE YU-CHUN MA M. D.” Practice Location

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