Healthcare Provider Details
I. General information
NPI: 1548292212
Provider Name (Legal Business Name): CHRISTINE MARIE HOFFMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/06/2006
Last Update Date: 01/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
237 CASTLEWOOD DR STE. C
MURFREESBORO TN
37129-5165
US
IV. Provider business mailing address
237 CASTLEWOOD DR STE. C
MURFREESBORO TN
37129-5165
US
V. Phone/Fax
- Phone: 615-900-3435
- Fax: 615-900-3371
- Phone: 615-900-3435
- Fax: 615-900-3371
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 30585 |
| License Number State | TN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: