Provider Demographics
NPI:1881684561
Name:HOBGOOD, DONNA K (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:K
Last Name:HOBGOOD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1751 GUNBARREL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-7177
Mailing Address - Country:US
Mailing Address - Phone:423-899-7574
Mailing Address - Fax:423-899-8066
Practice Address - Street 1:1751 GUNBARREL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-7177
Practice Address - Country:US
Practice Address - Phone:423-899-7574
Practice Address - Fax:423-899-8066
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000017017207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3025431Medicaid
A98953Medicare UPIN
TN3025431Medicaid