Individual provider · NPI-1

Michael David Hofmann, M.D.

Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology · Jacksonville, NC

NPI number1003841271
StatusActive
Last updated in NPPESFeb 16, 2017

Details

NPI
1003841271
Entity type
Individual (NPI-1)
Name
Michael David Hofmann
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 12, 2006
Last updated
Feb 16, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology2012-01818NCYes
208000000X Pediatrics35-084766OH
208000000X Pediatrics2007035010MO
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology35-084766OH
2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology2007035010MO

Practice location

3050 Henderson Dr
Jacksonville, NC 28546-5246

Phone 910-353-2660 · Fax 910-353-2770

Mailing address

Po Box 12063
Jacksonville, NC 28546-2063

Phone 910-353-2660 · Fax 910-353-2770

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