Provider Demographics
NPI:1134123888
Name:BOBBITT, RALPH CARTER JR (MD)
Entity type:Individual
Prefix:
First Name:RALPH
Middle Name:CARTER
Last Name:BOBBITT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15815 BROOKWAY DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-3221
Mailing Address - Country:US
Mailing Address - Phone:704-655-1466
Mailing Address - Fax:704-655-1467
Practice Address - Street 1:311 WILLIAMSON RD
Practice Address - Street 2:SUITE 100
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-5966
Practice Address - Country:US
Practice Address - Phone:704-746-9889
Practice Address - Fax:704-230-0066
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC201100657207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC0061AMedicare PIN
OHI13462Medicare UPIN