Provider Demographics
NPI:1760217863
Name:YANG, ABBY Y
Entity type:Individual
Prefix:
First Name:ABBY
Middle Name:Y
Last Name:YANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5085 RIVERTHUR PL
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30096-2933
Mailing Address - Country:US
Mailing Address - Phone:404-754-8888
Mailing Address - Fax:
Practice Address - Street 1:5085 RIVERTHUR PL
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30096-2933
Practice Address - Country:US
Practice Address - Phone:404-754-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program