Individual
JEFFREY DEAN NOBLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720A MEDICAL PARK DR, SUITE 220, BILOXI, MS 39532-2129
(228) 392-9355
(228) 392-1781
Mailing address
6300 E LAKE BLVD, SUITE 301, VANCLEAVE, MS 39565-6770
(228) 230-2663
(228) 206-1192
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
13197
MS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
13197
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00118266
—
MS
Enumeration date
07/17/2006
Last updated
03/22/2017
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