Provider Demographics
NPI:1295729697
Name:HOFFMAN, TIMOTHY MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:MICHAEL
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 MANNING DRIVE CHAPEL HILL NC 27599-723 CB # 7232
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7232
Mailing Address - Country:US
Mailing Address - Phone:984-974-4601
Mailing Address - Fax:984-974-7385
Practice Address - Street 1:101 MANNING DRIVE CB 7232
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-2654
Practice Address - Country:US
Practice Address - Phone:984-974-4601
Practice Address - Fax:984-974-7385
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2066912080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64064819OtherMEDICAID
OH2300718Medicaid
WV20048444000OtherMEDICAID
OHH04068191Medicare ID - Type Unspecified
OH2300718Medicaid