Individual
CARL NOLAN COBB JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 227-3450
Mailing address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 227-3450
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN274574
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN274574
GA
Other
Enumeration date
09/01/2021
Last updated
05/22/2024
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