Provider Demographics
NPI:1013131887
Name:NOBLE, GARY WINSTON (MD)
Entity Type:Individual
Prefix:DR
First Name:GARY
Middle Name:WINSTON
Last Name:NOBLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:34 WRIGHTS POINT CIR
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-6955
Mailing Address - Country:US
Mailing Address - Phone:843-522-2988
Mailing Address - Fax:843-524-1879
Practice Address - Street 1:1050 RIBAUT RD
Practice Address - Street 2:COASTAL EMPIRE MENTAL HEALTH
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-5400
Practice Address - Country:US
Practice Address - Phone:843-524-3378
Practice Address - Fax:843-524-1879
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC274282084P0800X
GA563312084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry