Most Relevant Information
Provider Data
| NPI Number: | 1003406844 |
| Provider Name: | ROXANN EMMONS RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WN0300X |
| Specialty: | Registered Nurse |
| License Number: | RN274531 |
Most Important Dates
| Enumeration Date: | 01/26/2021 |
| Last Updated: | 01/26/2021 |
Provider Practice Location
130 QUAIL CV
FAYETTEVILLE
GA
302151938
Practice Location Phone/Fax
| Phone: | 4042002280 |
| Fax: |
Provider Mailing Location
130 QUAIL CV
FAYETTEVILLE
GA
302151938
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |