| Doctor Name: | MAVIS NYARKO YEBOAH |
| NPI Number: | 1063803260 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | WHNP |
| License Number: | RN181677 |
| Business Practice Address: | 226 Shaw Dr Acworth, GA - 301022038 |
| Business Phone Number: | 4043337591 |
| Business Fax Number: | |
| Mailing Address: | 226 Shaw Dr, ACWORTH |
| State: | GA |
| Postal Code: | 301022038 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/10/2015 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | RN181677 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |