Individual
EDVA NOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6272
(478) 633-6269
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6272
(478) 633-6269
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
73952
GA
Other
Enumeration date
07/18/2012
Last updated
05/16/2024
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