Provider Demographics
NPI:1154313229
Name:HOFFMAN, EDWARD MORRIS (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:MORRIS
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 15849
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-2549
Mailing Address - Country:US
Mailing Address - Phone:912-527-5301
Mailing Address - Fax:912-756-4740
Practice Address - Street 1:89 INTERCHANGE DR
Practice Address - Street 2:
Practice Address - City:RICHMOND HILL
Practice Address - State:GA
Practice Address - Zip Code:31324-7661
Practice Address - Country:US
Practice Address - Phone:912-527-5301
Practice Address - Fax:912-756-4740
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA056565207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA848476628BMedicaid
SCG56565Medicaid
GAP00253005OtherRR MEDICARE
GA848476628AMedicaid
SCG56565Medicaid