Individual
DR. JACK COLE NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 W HICKORY AVE, BASTROP, LA 71220-4441
(318) 281-4450
(318) 281-4464
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
014889
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1199346
—
LA
Enumeration date
11/28/2005
Last updated
01/15/2016
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