Provider Demographics
NPI:1073807921
Name:NOGGLE, ALEXIS ANGELA (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXIS
Middle Name:ANGELA
Last Name:NOGGLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 643
Mailing Address - Street 2:
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-0013
Mailing Address - Country:US
Mailing Address - Phone:762-303-0504
Mailing Address - Fax:
Practice Address - Street 1:128 PINION DR
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-5468
Practice Address - Country:US
Practice Address - Phone:762-303-0504
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-07
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011944111N00000X
NVB01453111N00000X
GACHIR010752111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor