Healthcare Provider Details

I. General information

NPI: 1245346600
Provider Name (Legal Business Name): JOHN RICHARD HOBSON JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 12/26/2019
Certification Date: 12/26/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 N JUSTICE ST STE A
HENDERSONVILLE NC
28791-3455
US

IV. Provider business mailing address

800 N JUSTICE ST # 16
HENDERSONVILLE NC
28791-3410
US

V. Phone/Fax

Practice location:
  • Phone: 828-693-8019
  • Fax: 828-693-8093
Mailing address:
  • Phone: 828-693-8019
  • Fax: 828-693-8093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number2019-02709
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2019-02709
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: