Individual
MATTHEW HOBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1403 RUSSELL AVE, JEFFERSON CITY, TN 37760-2530
(865) 475-3836
(865) 475-4034
Mailing address
240 CAIN DR, BLOUNTVILLE, TN 37617-4822
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
35322
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35322
TENNESSEE BOARD OF PHARMACY
TN
Enumeration date
10/21/2020
Last updated
10/21/2020
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