Individual
DR. MARCUS RAY HOSTETLER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3750 SAVANNAH HWY, SUITE G, JOHNS ISLAND, SC 29455-7909
(843) 766-1501
(843) 578-0628
Mailing address
3750 SAVANNAH HWY, SUITE G, JOHNS ISLAND, SC 29455-7909
(843) 766-1501
(843) 578-0628
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2477
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2744
—
SC
05
—
GCH471
—
SC
Enumeration date
05/19/2006
Last updated
07/09/2007
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