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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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