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Individual

MRS. MARY B HOBBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
705 N FANT ST, ANDERSON, SC 29621-5705
(864) 512-7034
(864) 225-0837
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-7034
(864) 225-0837

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23987
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0568693
HEALTHSOURCE
01
306947105
CHAMPUS HEALTHCARE
05
T80560
SC
Enumeration date
05/15/2006
Last updated
01/05/2023
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