Provider Demographics
NPI:1801273669
Name:HOBBS, TAZLEY ANN (MD)
Entity type:Individual
Prefix:DR
First Name:TAZLEY
Middle Name:ANN
Last Name:HOBBS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TAZLEY
Other - Middle Name:ANN
Other - Last Name:HOTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:BUILDING 69
Mailing Address - Street 2:DOGWOOD AVE
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:TN
Mailing Address - Zip Code:37684
Mailing Address - Country:US
Mailing Address - Phone:423-926-1171
Mailing Address - Fax:
Practice Address - Street 1:DOGWOOD AVE
Practice Address - Street 2:VA BLDG 52
Practice Address - City:MOUNTAIN HOME
Practice Address - State:TN
Practice Address - Zip Code:37684
Practice Address - Country:US
Practice Address - Phone:423-439-2225
Practice Address - Fax:423-439-2250
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-30
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN587312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty