Healthcare Provider Details

I. General information

NPI: 1659320919
Provider Name (Legal Business Name): TAUNYA F. HOFFMAN PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2006
Last Update Date: 11/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3051 WATSON BLVD SUITE 525
WARNER ROBINS GA
31093-8536
US

IV. Provider business mailing address

120-B OSIGIAN BLVD SUITE 100
WARNER ROBINS GA
31088-8939
US

V. Phone/Fax

Practice location:
  • Phone: 478-953-4563
  • Fax: 478-953-4616
Mailing address:
  • Phone: 478-953-5358
  • Fax: 478-953-5340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number004246
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: