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NPI Code Detail

MEDICARE: DR. KURT PATRICK HOFMANN M.D.

MEDICARE: DR. KURT PATRICK HOFMANN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician51197GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437145208
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KURT PATRICK HOFMANN M.D.
Provider Business Mailing Address
First Line : PO BOX 407
Second Line :
City : VIDALIA
State : GA
Zip : 30475-0407
Country : US
Telephone Number : 912-538-9977
Fax Number : 912-538-0770
Provider Business Practice Location Address
First Line : 1811 EDWINA DR
Second Line :
City : VIDALIA
State : GA
Zip : 30474-8963
Country : US
Telephone Number : 912-538-9977
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2005
Last Update Date : 03/07/2023

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