Individual
NICOLE SCHMIDT CIBOROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1968 PEACHTREE ROAD NW, ATLANTA, GA 30309-1281
(404) 351-1745
(404) 351-7121
Mailing address
1301 CONCORD TERRACE, SUNRISE, FL 33323-2843
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
005648
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178803094A
—
GA
Enumeration date
10/24/2008
Last updated
11/15/2010
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