Individual
DR. JOHN EDWIN IMHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3215 SHRINE RD, STE 6, BRUNSWICK, GA 31520
(912) 267-0565
(912) 267-0545
Mailing address
3215 SHRINE RD, STE 6, BRUNSWICK, GA 31520
(912) 267-0565
(912) 267-0545
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
023995
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00270971A
—
GA
01
—
180001611
MED RR
—
Enumeration date
08/04/2006
Last updated
03/07/2023
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