Healthcare Provider Details

I. General information

NPI: 1699917146
Provider Name (Legal Business Name): DAVID HOBBS L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2009
Last Update Date: 08/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 PEACHTREE ST NW SUITE 420
ATLANTA GA
30309-2519
US

IV. Provider business mailing address

1800 HOWELL MILL RD NW SUITE 700
ATLANTA GA
30318-2538
US

V. Phone/Fax

Practice location:
  • Phone: 404-605-9091
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number00085
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: