Healthcare Provider Details

I. General information

NPI: 1578897716
Provider Name (Legal Business Name): JANET L HOFFMAN, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2009
Last Update Date: 12/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 N MCKENZIE STREET SUITE 105
FOLEY AL
36535-2264
US

IV. Provider business mailing address

1506 N MCKENZIE STREET SUITE 105
FOLEY AL
36535-2264
US

V. Phone/Fax

Practice location:
  • Phone: 251-970-5342
  • Fax: 251-970-5138
Mailing address:
  • Phone: 251-970-5342
  • Fax: 251-970-5138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code173000000X
TaxonomyLegal Medicine
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number22341
License Number StateAL

VIII. Authorized Official

Name: DR. JANET HOFFMAN
Title or Position: OWNER/PRESIDENT
Credential: MD
Phone: 251-970-5342