Individual
ROXANN EMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
130 QUAIL CV, FAYETTEVILLE, GA 30215-1938
(404) 200-2280
Mailing address
130 QUAIL CV, FAYETTEVILLE, GA 30215-1938
Taxonomy
Speciality
Code
Description
License number
State
163WD1100X
Peritoneal Dialysis Registered Nurse
Primary
RN274531
GA
163WN0300X
Nephrology Registered Nurse
RN274531
GA
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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