Healthcare Provider Details

I. General information

NPI: 1245300607
Provider Name (Legal Business Name): VIRGINIA WOODLIEF HOBGOOD MA,CCC,SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 PINCKNEY RD
CARTHAGE NC
28327-6004
US

IV. Provider business mailing address

PO BOX 1180
CARTHAGE NC
28327-1180
US

V. Phone/Fax

Practice location:
  • Phone: 910-947-2342
  • Fax: 910-947-3011
Mailing address:
  • Phone: 910-947-2976
  • Fax: 910-947-3011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6892
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: