Provider Demographics
NPI:1235692815
Name:YANES, GERMAN (MD)
Entity type:Individual
Prefix:DR
First Name:GERMAN
Middle Name:
Last Name:YANES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:GERMAN
Other - Middle Name:
Other - Last Name:YANES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4620 SIERRA CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOSCHTON
Mailing Address - State:GA
Mailing Address - Zip Code:30548
Mailing Address - Country:US
Mailing Address - Phone:470-629-2044
Mailing Address - Fax:678-765-1401
Practice Address - Street 1:1859 BUFORD HWY STE C
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518
Practice Address - Country:US
Practice Address - Phone:678-765-0101
Practice Address - Fax:678-765-1401
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA102889207Q00000X
PR024038208D00000X
FL1646207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice