Healthcare Provider Details

I. General information

NPI: 1588547897
Provider Name (Legal Business Name): WILLIAM JARED HOBBS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2025
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3050 HALSTEAD BLVD EXT
ELIZABETH CTY NC
27909-4994
US

IV. Provider business mailing address

4535 DRESSLER RD NW
CANTON OH
44718-2545
US

V. Phone/Fax

Practice location:
  • Phone: 252-690-4000
  • Fax:
Mailing address:
  • Phone: 800-828-0898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-16795
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: