Provider Demographics
NPI:1891867826
Name:NEAU, YVONNE S (MD)
Entity Type:Individual
Prefix:DR
First Name:YVONNE
Middle Name:S
Last Name:NEAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5819 WILD HERRIN TRL
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-5563
Mailing Address - Country:US
Mailing Address - Phone:847-477-4747
Mailing Address - Fax:
Practice Address - Street 1:195 N BROAD ST
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:GA
Practice Address - Zip Code:30411-4055
Practice Address - Country:US
Practice Address - Phone:912-568-1731
Practice Address - Fax:912-568-1701
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA060947207Q00000X
WI51034-20207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA252154850EMedicaid