Individual
MARK RANDALL NOLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1240 HUFFMAN MILL RD, BURLINGTON, NC 27215-8700
(501) 590-4790
Mailing address
4106 DUBLIN CT, BURLINGTON, NC 27215-9491
(501) 590-4790
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
3121
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
2013008912
MO
Other
Enumeration date
04/15/2013
Last updated
05/16/2022
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