Healthcare Provider Details

I. General information

NPI: 1083798144
Provider Name (Legal Business Name): CRAIG HOFFMEIER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 10/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2527 E LYON STATION RD
CREEDMOOR NC
27522-9112
US

IV. Provider business mailing address

2527 E LYON STATION RD BUTNER CREEDMOOR FAMILY MED
CREEDMOOR NC
27522-9112
US

V. Phone/Fax

Practice location:
  • Phone: 919-620-4467
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number31836
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: