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Individual

DWAYNE EMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
609 MEDICAL CENTER DR, DECATUR, TX 76234-3836
(940) 627-5921
Mailing address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
831769
TX

Other

Enumeration date
01/09/2018
Last updated
01/09/2018
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