Individual
KANISHA HOBGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1798 GA HIGHWAY 300 S, CORDELE, GA 31015-6303
(229) 406-1627
Mailing address
1798 GA HIGHWAY 300 S, CORDELE, GA 31015-6303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN297708
GA
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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