Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 3633 | SC |
NPI | 1134286230 |
---|---|
Provider Name | Dr. Christopher Scott Noel |
First Address | Greenville, SC 29607 |
Second Address | Greenville, SC 29607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 08/07/2007 |