Healthcare Provider Details

I. General information

NPI: 1013918333
Provider Name (Legal Business Name): STEVEN T HOBGOOD MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 02/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 CURTIS ELLIS DR
ROCKY MOUNT NC
27804-2237
US

IV. Provider business mailing address

PO BOX 14767
BELFAST ME
04915-4042
US

V. Phone/Fax

Practice location:
  • Phone: 252-451-2700
  • Fax: 252-451-2702
Mailing address:
  • Phone: 252-451-2700
  • Fax: 252-451-2702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2015-00895
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: