Healthcare Provider Details

I. General information

NPI: 1902408842
Provider Name (Legal Business Name): HUNTER HOBBS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2020
Last Update Date: 11/16/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 E WALNUT AVE
DALTON GA
30721-8799
US

IV. Provider business mailing address

2107 CLUB DR APT 4
DALTON GA
30720-2912
US

V. Phone/Fax

Practice location:
  • Phone: 706-278-6555
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH030714
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: