Provider Demographics
NPI:1154369403
Name:HOBBS, RODNEY HAROLD JR (MD)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:HAROLD
Last Name:HOBBS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1125 TROUPE STREET
Mailing Address - Street 2:PO BOX 3845
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30914-3845
Mailing Address - Country:US
Mailing Address - Phone:706-737-4275
Mailing Address - Fax:706-731-5289
Practice Address - Street 1:4350 TOWNE CENTRE DR
Practice Address - Street 2:SUITE 1000
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-3301
Practice Address - Country:US
Practice Address - Phone:706-868-3940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0525822085B0100X, 2085N0904X, 2085P0229X, 2085R0202X, 2085U0001X
SC280222085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA01065845OtherAMERIGROUP
GA416137OtherWELLCARE OF GEORGIA
GA553431417BMedicaid
GA553431417EMedicaid
GA553431417MMedicaid
GA553431417IMedicaid
GA553431417NMedicaid
GA52222532OtherBCBS GA
GA553431417GMedicaid
GA553431417JMedicaid
GA553431417LMedicaid
GA553431417DMedicaid
GA553431417OMedicaid
GA1154369403OtherBCBS GA
GA553431417CMedicaid
GA553431417KMedicaid
SC280225Medicaid
GA553431417HMedicaid
GAP00458485OtherRAILROAD MEDICARE
GA553431417AMedicaid
GA553431417FMedicaid
GA511I300100Medicare PIN
GA553431417CMedicaid