Individual
BRANDIE KINNEY NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
5205 STILESBORO RD NW, BUILDING II, SUITE 200, KENNESAW, GA 30152-7764
(770) 218-8800
(770) 218-8811
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8286
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345587121A
—
GA
05
—
345587121B
—
GA
01
—
390126
BCBSGA
GA
Enumeration date
06/02/2006
Last updated
12/23/2014
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