Provider Demographics
NPI:1356712434
Name:MCNEAL, SONYA YOUVETT (CNA)
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:YOUVETT
Last Name:MCNEAL
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4415 ABBEY WAY
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-3369
Mailing Address - Country:US
Mailing Address - Phone:678-508-6617
Mailing Address - Fax:888-502-8371
Practice Address - Street 1:4415 ABBEY WAY
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-3369
Practice Address - Country:US
Practice Address - Phone:678-508-6617
Practice Address - Fax:888-502-8371
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-14
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACN0028868178374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide