| Doctor Name: | TIFFANY T NOBLES |
| NPI Number: | 1023422649 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 18863 |
| Business Practice Address: | 801 W Main St Union, SC - 293792717 |
| Business Phone Number: | 8644298029 |
| Business Fax Number: | 8644293515 |
| Mailing Address: | 720 S Duncan Byp, Ste B UNION |
| State: | SC |
| Postal Code: | 293797830 |
| Phone Number: | 8644274081 |
| Fax Number: | 8644278733 |
| NPI Enumeration Date: | 06/12/2014 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 18863 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |