Individual
STACI C HOFIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342
(404) 851-8000
Mailing address
3601 TANGLEWOOD DR SE, ATLANTA, GA 30339-4227
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN228200
GA
Other
Enumeration date
02/02/2018
Last updated
06/19/2018
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