Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 2015-00895 | NC |
NPI | 1013918333 |
---|---|
Provider Name | Steven T Hobgood |
First Address | Belfast, ME 04915-4042 |
Second Address | Rocky Mount, NC 27804-2237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 18/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7223508 | AETNA ID (01) | NC |
D3962 | MEDCOST (01) | NC |
P93666 | (02) | NC |