Hoffman-Goodson, Kimberly D
Hoffman-Goodson, Kimberly D is an individual health care provider with primary practice located at 1360 Hembree Rd Ste 100 , Roswell GA 30076. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hoffman-Goodson, Kimberly D can be contacted via phone (470) 956-4430.Contact Information
Primary practice address
1360 Hembree Rd Ste 100
Roswell GA 30076
Phone: (470) 956-4430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 0024168814 | Virginia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN276434 | Georgia |
Profile Details
| NPI number | 1548231681 |
|---|---|
| LBN Legal business name | Hoffman-Goodson, Kimberly D |
| Credentials | CRNPF MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Aug 7th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548231681 | NPPES |
| Maryland | MEDICAID | 259905800 | |
| Maryland | Other | 60495201 |
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