Healthcare Provider Details

I. General information

NPI: 1851304307
Provider Name (Legal Business Name): PAUL E HOFFMANN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 10/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 EAST THIRD STREET SUITE 202
CHATTANOOGA TN
37403
US

IV. Provider business mailing address

1010 EAST THIRD STREET SUITE 202
CHATTANOOGA TN
37403
US

V. Phone/Fax

Practice location:
  • Phone: 423-321-1128
  • Fax: 423-756-8265
Mailing address:
  • Phone: 423-321-1128
  • Fax: 423-756-8265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD0000031053
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number057478
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: