Provider Demographics
NPI:1760487334
Name:NOELL, WILLIAM JUDSON JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JUDSON
Last Name:NOELL
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:98 DOCTORS DR
Mailing Address - Street 2:SUITE 320 B
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-4501
Mailing Address - Country:US
Mailing Address - Phone:828-631-8913
Mailing Address - Fax:828-586-7904
Practice Address - Street 1:98 DOCTORS DR
Practice Address - Street 2:SUITE 320B
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-4501
Practice Address - Country:US
Practice Address - Phone:828-631-8913
Practice Address - Fax:828-586-7904
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2012-06-18
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Provider Licenses
StateLicense IDTaxonomies
NC33726208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC62954OtherBLUE CROSS BLUE SHEILD
NC8962954Medicaid
NCE04321Medicare UPIN