Provider Demographics
NPI:1023358462
Name:NOBLES, GEORGE SCOTT (DC)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:SCOTT
Last Name:NOBLES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:GEORGE
Other - Middle Name:SCOOT
Other - Last Name:NOBLES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:3558 KIRBY PKWY
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38115-4243
Mailing Address - Country:US
Mailing Address - Phone:901-566-1203
Mailing Address - Fax:901-566-1206
Practice Address - Street 1:5558 KIRBY PARKWAY
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38115
Practice Address - Country:US
Practice Address - Phone:901-566-1203
Practice Address - Fax:901-566-1206
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor