Provider Demographics
NPI:1093706210
Name:NOEL, PAUL E (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:E
Last Name:NOEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 N MALONE ST
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611-1509
Mailing Address - Country:US
Mailing Address - Phone:256-216-6500
Mailing Address - Fax:256-216-8777
Practice Address - Street 1:201 N MALONE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611-1509
Practice Address - Country:US
Practice Address - Phone:256-216-6500
Practice Address - Fax:256-216-8777
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL16632208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000011343Medicaid
AL051011343OtherBCBS OF AL
F30491Medicare UPIN
AL000011343Medicaid