Provider Demographics
NPI: | 1629186622 |
---|---|
Name: | HOBART, FRANK ADAMS (MD) |
Entity Type: | Individual |
Prefix: | |
First Name: | FRANK |
Middle Name: | ADAMS |
Last Name: | HOBART |
Suffix: | |
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: | PO BOX 936857 |
Mailing Address - Street 2: | |
Mailing Address - City: | ATLANTA |
Mailing Address - State: | GA |
Mailing Address - Zip Code: | 31193-6857 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1415 PHYSICIANS DR |
Practice Address - Street 2: | |
Practice Address - City: | WILMINGTON |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28401-7338 |
Practice Address - Country: | US |
Practice Address - Phone: | 910-662-9500 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-08-29 |
Last Update Date: | 2022-09-23 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 9900248 | 207RC0000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
NC | 0137K | Other | BLUE CROSS BLUE SHEILD |
NC | 1629186622 | Medicaid | |
NC | 8912070 | Medicaid | |
NC | 890137K | Medicaid | |
NC | NCA346B | Medicare PIN | |
NC | 2313218 | Medicare PIN | |
NC | 0137K | Other | BLUE CROSS BLUE SHEILD |
NC | 890137K | Medicaid |