Healthcare Provider Details

I. General information

NPI: 1407227606
Provider Name (Legal Business Name): BLAIR HOFFMAN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2015
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 OLD MILTON PKWY STE C500
ALPHARETTA GA
30005-4408
US

IV. Provider business mailing address

3400 OLD MILTON PKWY STE C500
ALPHARETTA GA
30005-4408
US

V. Phone/Fax

Practice location:
  • Phone: 678-775-2284
  • Fax: 678-775-2285
Mailing address:
  • Phone: 678-775-2284
  • Fax: 678-775-2285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP203264
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: