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 |