Provider Demographics
NPI:1285629253
Name:NOEL, CEDRICK CHRISTOPHER
Entity Type:Individual
Prefix:DR
First Name:CEDRICK
Middle Name:CHRISTOPHER
Last Name:NOEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10930 CRABAPPLE RD
Mailing Address - Street 2:STE 18
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-5813
Mailing Address - Country:US
Mailing Address - Phone:770-587-2280
Mailing Address - Fax:770-587-2286
Practice Address - Street 1:10930 CRABAPPLE RD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-5812
Practice Address - Country:US
Practice Address - Phone:770-587-2280
Practice Address - Fax:770-587-2286
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR007222111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition