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Individual

ESTELLA LEE MOBLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
550 PEACHTREE STREET, SUITE 1600, ATLANTA, GA 30308-2209
(404) 253-6820
(404) 874-1249
Mailing address
3120 BUCKBOARD TRL, DEPT 1029, STONE MOUNTAIN, GA 30087-4057
(770) 722-9762

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN110117
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0005567731
GA
Enumeration date
03/21/2006
Last updated
07/08/2007
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