Individual
DR. EDWARD RHETTSON HOBGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
(601) 914-1845
Mailing address
1325 E FORTIFICATION ST, JACKSON, MS 39202-2442
(601) 354-4488
(601) 914-1845
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
19772
MS
207X00000X
Orthopaedic Surgery Physician
A96104
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02889260
—
MS
01
—
P00418559
MEDICARE RR
MS
Enumeration date
06/06/2006
Last updated
11/17/2011
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