Healthcare Provider Details

I. General information

NPI: 1891818415
Provider Name (Legal Business Name): CALVIN LEON HOBBS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 01/26/2022
Certification Date: 01/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2803 WRIGHTSBORO RD SUITE 45
AUGUSTA GA
30909-3913
US

IV. Provider business mailing address

2803 WRIGHTSBORO RD SUITE 45
AUGUSTA GA
30909-3913
US

V. Phone/Fax

Practice location:
  • Phone: 706-736-2737
  • Fax: 706-731-9047
Mailing address:
  • Phone: 706-736-2737
  • Fax: 706-731-9047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number026783
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: