Individual
DR. JOHN PATRICK NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(702) 408-1405
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(702) 408-1405
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10963
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10963
GEORGIA COMPOSITE MEDICAL BOARD
GA
Enumeration date
05/24/2019
Last updated
05/24/2019
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