Provider Demographics
NPI:1326637216
Name:NOBLE, ALEX
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:NOBLE
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 1:5820 WILLIAM VERNON DR
Mailing Address - Street 2:
Mailing Address - City:POWDER SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30127-6796
Mailing Address - Country:US
Mailing Address - Phone:404-839-1608
Mailing Address - Fax:
Practice Address - Street 1:5820 WILLIAM VERNON DR
Practice Address - Street 2:
Practice Address - City:POWDER SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30127-6796
Practice Address - Country:US
Practice Address - Phone:404-839-1608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program