Provider Demographics
NPI:1083605620
Name:HOBBS, LAFLOYD HUESTON JR (MD)
Entity Type:Individual
Prefix:
First Name:LAFLOYD
Middle Name:HUESTON
Last Name:HOBBS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1351 CRESTVIEW RD
Mailing Address - Street 2:
Mailing Address - City:EASLEY
Mailing Address - State:SC
Mailing Address - Zip Code:29642-2408
Mailing Address - Country:US
Mailing Address - Phone:864-855-5006
Mailing Address - Fax:864-850-1992
Practice Address - Street 1:1351 CRESTVIEW RD
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642-2408
Practice Address - Country:US
Practice Address - Phone:864-855-5006
Practice Address - Fax:864-850-1992
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC11726207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC117260Medicaid
SC117260Medicaid