Individual
GINA NICOLE NOBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
128 MEDICAL PARK RD STE 201, MOORESVILLE, NC 28117-8579
(704) 235-1827
Mailing address
PO BOX 1845, STATESVILLE, NC 28687-1845
(704) 873-4277
(704) 978-3549
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001008054
NC
363A00000X
Physician Assistant
PA9105036
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001372800
—
FL
Enumeration date
08/10/2009
Last updated
05/30/2018
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