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Organization

GEORGIA ANESTHESIA PROVIDERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARL R NOBACK MD (MEMBER)
(941) 360-1566
Entity
Organization

Contact information

Practice address
2550 WINDY HILL RD SE, SUITE 215, MARIETTA, GA 30067-8665
(880) 850-9464
(770) 850-9727
Mailing address
PO BOX 864749, ORLANDO, FL 32886-4749
(888) 337-3509
(941) 328-3997

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
01/13/2009
Last updated
09/09/2014
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