Provider Demographics
NPI:1689249450
Name:HOBSON, KATINA (DO)
Entity Type:Individual
Prefix:
First Name:KATINA
Middle Name:
Last Name:HOBSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 WILLOW RD
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-7746
Mailing Address - Country:US
Mailing Address - Phone:704-454-2611
Mailing Address - Fax:704-762-9949
Practice Address - Street 1:104 WILLOW RD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-7746
Practice Address - Country:US
Practice Address - Phone:704-454-2611
Practice Address - Fax:704-762-9949
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances