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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548231681 NPPES
Maryland MEDICAID 259905800
Maryland Other 60495201

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