Organization
IPS CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R NOBACK MD (MEDICAL DIRECTOR)
(888) 337-3509
Entity
Organization
Contact information
Practice address
7229 WHEAT ST NE, COVINGTON, GA 30014-1566
(678) 625-5132
(678) 625-5134
Mailing address
PO BOX 864833, ORLANDO, FL 32886
(888) 337-3509
(941) 328-3997
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
09/04/2012
Last updated
09/19/2012
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