Healthcare Provider Details

I. General information

NPI: 1558325241
Provider Name (Legal Business Name): ROBERT DOW HOFFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4425 PAULSEN ST
SAVANNAH GA
31405-3637
US

IV. Provider business mailing address

4425 PAULSEN ST
SAVANNAH GA
31405-3637
US

V. Phone/Fax

Practice location:
  • Phone: 912-355-6615
  • Fax: 912-351-0645
Mailing address:
  • Phone: 912-355-6615
  • Fax: 912-351-0645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number25979
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number52440
License Number StateIA
# 3
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG52440
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: