Provider Demographics
NPI:1922878263
Name:NOEGEL, ANNABELLE G (HAD)
Entity Type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:G
Last Name:NOEGEL
Suffix:
Gender:F
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 GEORGE C WILSON DR STE 3A
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-5703
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1215 GEORGE C WILSON DR STE 3A
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-5703
Practice Address - Country:US
Practice Address - Phone:706-364-2378
Practice Address - Fax:706-364-2380
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAHADS001120237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty