Organization
ATLANTA SPINE ANESTHESIA, LLC
Active
Organization
ATLANTA SPINE ANESTHESIA, LLC
Active
Other names
Atlanta Spine Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL NOBACK MD (AUTHORIZED OFFICIAL)
(888) 337-3509
Entity
Organization
Contact information
Practice address
60 PEACHTREE PARK DR NE STE 200, ATLANTA, GA 30309
(678) 369-6934
Mailing address
PO BOX 865700, ORLANDO, FL 32886-5700
(888) 337-3509
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/15/2018
Last updated
06/22/2018
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