Healthcare Provider Details

I. General information

NPI: 1699916775
Provider Name (Legal Business Name): DAVID CHRISTIAN HOSTLER M.D., MPH, FACP,FCCP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2009
Last Update Date: 09/26/2024
Certification Date: 09/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 RAMSEY ST
FAYETTEVILLE NC
28301-3856
US

IV. Provider business mailing address

2300 RAMSEY ST
FAYETTEVILLE NC
28301-3856
US

V. Phone/Fax

Practice location:
  • Phone: 910-488-2120
  • Fax: 910-822-7088
Mailing address:
  • Phone: 910-488-2120
  • Fax: 910-822-7088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2019-02254
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number2019-02254
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: