Individual
BRYAN JOHN HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 MERCER UNIVERSITY DR, MACON, GA 31207-1515
(478) 301-4111
Mailing address
1501 MERCER UNIVERSITY DR, MACON, GA 31207-1515
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
96150
GA
Other
Enumeration date
03/23/2020
Last updated
08/07/2023
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