Individual
BOBBI J KOBLASZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342
(770) 645-9181
Mailing address
3155 N POINT PKWY STE F100, ALPHARETTA, GA 30005-5495
(770) 645-9181
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
005463
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231252198B
—
GA
Enumeration date
12/02/2008
Last updated
09/28/2018
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