Individual
DR. KURT PATRICK HOFMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1811 EDWINA DR, VIDALIA, GA 30474-8963
(912) 538-9977
Mailing address
PO BOX 407, VIDALIA, GA 30475-0407
(912) 538-9977
(912) 538-0770
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
51197
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000945106D
—
GA
Enumeration date
09/27/2005
Last updated
03/07/2023
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