Individual
JACOB BOBBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 720-3602
(843) 727-3602
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5003
SC
Other
Enumeration date
01/25/2018
Last updated
11/06/2023
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