Individual provider · Type 1 NPI

Jacob Bobba, PA

Surgical Physician Assistant · Charleston, SC

NPI number 1053819946 Active

Practice location

316 Calhoun St
Charleston, SC 29401-1113

Call (843) 720-3602 Map

Fax (843) 727-3602

Mailing address

PO Box 632709
Cincinnati, OH 45263-2709

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X5003 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1053819946

Jacob Bobba, PA's National Provider Identifier is 1053819946, issued on Jan 25, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charleston, SC. The record was last updated on Oct 7, 2026.