Healthcare Provider Details

I. General information

NPI: 1568717528
Provider Name (Legal Business Name): RUBY APPIAH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/16/2012
Last Update Date: 04/14/2023
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 SHAKERAG HL
PEACHTREE CITY GA
30269-3365
US

IV. Provider business mailing address

1325 RALPH DAVID ABERNATHY BLVD SW
ATLANTA GA
30310-1649
US

V. Phone/Fax

Practice location:
  • Phone: 404-251-2150
  • Fax:
Mailing address:
  • Phone: 404-836-0136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number074981
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: