Individual
MS. NOELLE DUVAL GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
631 BESSEMER SUPER HIGHWAY, BIRMINGHAM, AL 35228
(205) 715-6121
(205) 930-1326
Mailing address
PO BOX 2648, BIRMINGHAM, AL 35202
(205) 930-1363
(205) 930-1326
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23400
AL
208000000X
Pediatrics Physician
ME111181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007983500
—
FL
05
—
009988105
—
AL
01
—
051527788
BCBS
AL
05
—
244009
—
AL
01
—
512-35515
BCBS LOCATION ID#
AL
Enumeration date
11/25/2006
Last updated
10/02/2020
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