Healthcare Provider Details

I. General information

NPI: 1811925712
Provider Name (Legal Business Name): LEROY GEORGE HOFFMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 02/28/2020
Certification Date: 02/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 6TH AVE W STE 100
HENDERSONVILLE NC
28739-4137
US

IV. Provider business mailing address

PO BOX 16098
CHAPEL HILL NC
27516-6098
US

V. Phone/Fax

Practice location:
  • Phone: 828-692-8045
  • Fax: 828-692-6630
Mailing address:
  • Phone: 919-967-6646
  • Fax: 919-967-6647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number20145
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: