Healthcare Provider Details

I. General information

NPI: 1912405507
Provider Name (Legal Business Name): STEVEN HOTZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2018
Last Update Date: 10/07/2020
Certification Date: 10/07/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

810 SAINT VINCENTS DR
BIRMINGHAM AL
35205-1601
US

IV. Provider business mailing address

500 W 3RD AVE STE 101
ALBANY GA
31701-1900
US

V. Phone/Fax

Practice location:
  • Phone: 205-939-7000
  • Fax:
Mailing address:
  • Phone: 229-312-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number85429
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number85429
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number41544
License Number StateAL
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number85429
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: