Healthcare Provider Details

I. General information

NPI: 1366553851
Provider Name (Legal Business Name): CHARLES L HOBBS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1941 LIMESTONE RD STE 213
WILMINGTON DE
19808-5400
US

IV. Provider business mailing address

1941 LIMESTONE RD STE 213
WILMINGTON DE
19808-5400
US

V. Phone/Fax

Practice location:
  • Phone: 302-892-2100
  • Fax: 302-992-9017
Mailing address:
  • Phone: 302-892-2100
  • Fax: 302-992-9017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberC10001979
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: