Provider Demographics
NPI:1114225331
Name:NOBLES, GREGORY W (RPH)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:W
Last Name:NOBLES
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2872 HWY 17S
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:SC
Mailing Address - Zip Code:29576
Mailing Address - Country:US
Mailing Address - Phone:843-357-3985
Mailing Address - Fax:
Practice Address - Street 1:2872 S HIGHWAY 17
Practice Address - Street 2:
Practice Address - City:MURRELLS INLET
Practice Address - State:SC
Practice Address - Zip Code:29576-7621
Practice Address - Country:US
Practice Address - Phone:843-357-3985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-11
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC008086183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist