MEDICARE: GEORGE W NOE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	19782	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144214040
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGE W NOE MD

Provider Business Mailing Address
First Line	:	214 SOUTH CHILES ST
Second Line	:
City	:	HARRODSBURG
State	:	KY
Zip	:	40330-1631
Country	:	US
Telephone Number	:	859-734-2784
Fax Number	:	859-734-5488

Provider Business Practice Location Address
First Line	:	214 SOUTH CHILES ST
Second Line	:
City	:	HARRODSBURG
State	:	KY
Zip	:	40330-1631
Country	:	US
Telephone Number	:	859-734-2784
Fax Number	:	859-734-5488

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	07/08/2007

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