Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223E0200X | Endodontist | 60501 | KS |
Y | 1223E0200X | Endodontist | 8923 | TN |
N | 1223G0001X | General Practice | 5429 | AL |
N | 213EG0000X | General Practice | 5429 | AL |
NPI | 1114136165 |
---|---|
Provider Name | Dr. Casey Lyn Noble |
First Address | Nashville, TN 37203-2947 |
Second Address | Nashville, TN 37203-2947 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 19/02/2009 |