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Organization

CSPM ANESTHESIA 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
1413 CHATTANOOGA AVE, DALTON, GA 30720-2631
(706) 279-2635
(706) 279-2679
Mailing address
PO BOX 865522, ORLANDO, FL 32886-5522
(888) 337-3509

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
02/10/2017
Last updated
02/24/2017
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