Provider Demographics
NPI:1174748222
Name:NOAH OF NC, LLC
Entity type:Organization
Organization Name:NOAH OF NC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DON
Authorized Official - Middle Name:W
Authorized Official - Last Name:NOAH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-227-1266
Mailing Address - Street 1:207 N MARSHALL ST
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-3005
Mailing Address - Country:US
Mailing Address - Phone:336-227-1266
Mailing Address - Fax:336-227-1267
Practice Address - Street 1:207 N MARSHALL ST
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-3005
Practice Address - Country:US
Practice Address - Phone:336-227-1266
Practice Address - Fax:336-227-1267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty