Organization
SHELBY SURGICAL ASSOCIATES, PA
Active
Other names
Kings Mountain Surgical Assoicates, PA
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY DOUGLAS HOBSON MD (PRESIDENT)
(704) 487-8591
Entity
Organization
Contact information
Practice address
200 W GROVER ST, SHELBY, NC 28150-3708
(704) 487-8591
(704) 480-9726
Mailing address
200 W GROVER ST, SHELBY, NC 28150-3708
(704) 487-8591
(704) 480-9726
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39421
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02656
BLUE CROSS BLUE SHILED
NC
05
—
8902656
—
NC
Enumeration date
10/10/2006
Last updated
08/22/2020
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