| Doctor Name: | GEORGE W PROFFITT |
| NPI Number: | 1306819628 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | 0024166588 |
| Business Practice Address: | 815 W Poythress St Hopewell, VA - 238602532 |
| Business Phone Number: | 8044588557 |
| Business Fax Number: | 8045417113 |
| Mailing Address: | 815 W Poythress St, HOPEWELL |
| State: | VA |
| Postal Code: | 238602532 |
| Phone Number: | 8044588557 |
| Fax Number: | 8045417113 |
| NPI Enumeration Date: | 02/08/2006 |
| NPI Last Update Date: | 06/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0024166588 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |