Provider Demographics
NPI:1588864730
Name:GAY, APRIL LAVELLE (MD)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:LAVELLE
Last Name:GAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:APRIL
Other - Middle Name:LAVELLE
Other - Last Name:MULLINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 14883
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27415-4883
Mailing Address - Country:US
Mailing Address - Phone:336-373-1996
Mailing Address - Fax:336-482-2320
Practice Address - Street 1:5500 W FRIENDLY AVE STE 200
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4368
Practice Address - Country:US
Practice Address - Phone:336-373-1996
Practice Address - Fax:336-482-2320
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-01270208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5908021Medicaid