Organization
CNH1 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL NOBACK M.D. (OPERATIONS MANAGER)
(770) 212-3771
Entity
Organization
Contact information
Practice address
11675 RAINWATER DR, SUITE 250, ALPHARETTA, GA 30009-8684
(770) 212-3771
Mailing address
11675 RAINWATER DR, SUITE 250, ALPHARETTA, GA 30009-8684
(770) 212-3771
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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