Provider Demographics
NPI:1972686947
Name:NOBLET, NICHOLAS HERSHEY (MD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:HERSHEY
Last Name:NOBLET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:843-789-1620
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:615 WESLEY DR STE 200
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-7251
Practice Address - Country:US
Practice Address - Phone:843-571-6880
Practice Address - Fax:843-571-1387
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2020-10-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC29006207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC290063Medicaid
SCP00754393OtherRAILROAD MC ID-RSFPN
SCAA39869223Medicare PIN