Provider Demographics
NPI:1669703278
Name:KOLHOFF, WILLIAM JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:KOLHOFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 818
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:GA
Mailing Address - Zip Code:31329-0818
Mailing Address - Country:US
Mailing Address - Phone:912-754-6451
Mailing Address - Fax:912-754-9901
Practice Address - Street 1:800 TOWNE PARK DR STE 100
Practice Address - Street 2:
Practice Address - City:RINCON
Practice Address - State:GA
Practice Address - Zip Code:31326-5160
Practice Address - Country:US
Practice Address - Phone:912-826-0052
Practice Address - Fax:912-826-4726
Is Sole Proprietor?:No
Enumeration Date:2010-01-21
Last Update Date:2015-07-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA063706207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA623869721AMedicaid
GA623869721AMedicaid