Individual
MR. EMMANUEL RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.S.A.
Contact information
Practice address
227 SANDY SPRINGS PL STE D-53, SANDY SPRINGS, GA 30328-5918
(214) 227-2457
(214) 764-0880
Mailing address
227 SANDY SPRINGS PL STE D-53, SANDY SPRINGS, GA 30328-5918
(214) 227-2457
(214) 764-0880
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
2748
GA
246ZX2200X
Orthopedic Assistant
2748
GA
Other
Enumeration date
04/29/2015
Last updated
01/25/2022
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