Healthcare Provider Details

I. General information

NPI: 1316984503
Provider Name (Legal Business Name): GEORGE R HOERR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 12/14/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 CHILDRENS LN
NORFOLK VA
23507-1910
US

IV. Provider business mailing address

PO BOX 741593
ATLANTA GA
30374-1593
US

V. Phone/Fax

Practice location:
  • Phone: 757-668-7713
  • Fax: 757-668-7711
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number0101043708
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: