Provider Demographics
NPI:1558389502
Name:HOBSON, JULIA A (APN)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:A
Last Name:HOBSON
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:3310 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29115-1466
Mailing Address - Country:US
Mailing Address - Phone:803-531-6900
Mailing Address - Fax:803-531-6907
Practice Address - Street 1:10278 OLD NUMBER SIX HWY
Practice Address - Street 2:
Practice Address - City:VANCE
Practice Address - State:SC
Practice Address - Zip Code:29163-9342
Practice Address - Country:US
Practice Address - Phone:803-492-3031
Practice Address - Fax:803-492-9156
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2249363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCAA16171352Medicare PIN