Individual
DR. TIMOTHY JAMES HOFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 520-8405
Mailing address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 520-8405
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OT019016
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT019016
PENNSYLVANIA LICENSING SYSTEM
PA
Enumeration date
05/10/2019
Last updated
03/02/2023
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