Individual
MR. WAYNE EMINETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C.
Contact information
Practice address
401 S MAIN ST STE A2, ALPHARETTA, GA 30009-1957
(404) 816-7900
(404) 816-7929
Mailing address
PO BOX 52226, ATLANTA, GA 30355-0226
(404) 816-7900
(404) 816-7929
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
4308
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003153940A
—
GA
Enumeration date
05/02/2006
Last updated
07/21/2022
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