Individual
DR. RYAN MULLINS HODGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4467
Mailing address
1120 15TH ST # AF-2039, AUGUSTA, GA 30912-0004
(706) 721-4467
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
12984
GA
207P00000X
Emergency Medicine Physician
Primary
12984
GA
207P00000X
Emergency Medicine Physician
92585
SC
Other
Enumeration date
06/10/2021
Last updated
04/17/2025
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