Healthcare Provider Details

I. General information

NPI: 1922973437
Provider Name (Legal Business Name): BRANDON SKYLOR HOFFMAN RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 PIGEON PT
GREENVILLE SC
29607-5833
US

IV. Provider business mailing address

106 PIGEON PT
GREENVILLE SC
29607-5833
US

V. Phone/Fax

Practice location:
  • Phone: 864-331-9579
  • Fax:
Mailing address:
  • Phone: 864-331-9579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN9659637
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: