Healthcare Provider Details

I. General information

NPI: 1003060807
Provider Name (Legal Business Name): CALVIN HOBBS MDPC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2008
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 WRIGHTSBORO RD STE 24
AUGUSTA GA
30909-3914
US

IV. Provider business mailing address

2803 WRIGHTSBORO RD STE 45
AUGUSTA GA
30909-3918
US

V. Phone/Fax

Practice location:
  • Phone: 706-736-2737
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

Name: TARA LEGRAND LUNDY
Title or Position: PRACTICE MANAGER
Credential:
Phone: 706-723-9926