Individual
DR. AUGUSTINE AVINASH EMMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-1000
Mailing address
2677 KENWOOD DR, DULUTH, GA 30096-3657
(586) 943-5972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704279653
MI
163W00000X
Registered Nurse
655493
NY
367500000X
Certified Registered Nurse Anesthetist
R215730
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
RN277898
GA
Other
Enumeration date
12/07/2012
Last updated
02/15/2024
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