Hofstetter, Mark

Hofstetter, Mark is an individual health care provider with primary practice located at 1224 Augusta West Pkwy , Augusta GA 30909-6582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Hofstetter, Mark can be contacted via phone (706) 922-0191.

Contact Information

Primary practice address
1224 Augusta West Pkwy Augusta GA 30909-6582
Fax: (706) 922-0192
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 067643 Georgia

Profile Details

NPI number 1437158979
LBN Legal business name Hofstetter, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jan 21st, 2014 - about 11 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 1437158979 NPPES
South Carolina MEDICAID GA1300
South Carolina MEDICAID 003123605A
South Carolina Other 52590314

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