Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 52568 | SC |
Y | 207RH0002X | Hospice and Palliative Medicine | 87829 | GA |
NPI | 1023290152 |
---|---|
Provider Name | Dr. Noelle Claudine Stanley |
First Address | Atlanta, GA 30374-2616 |
Second Address | Gainesville, GA 30501-3444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2007 |
Last Update Date | 06/12/2021 |