MEDICARE: DR. DAWN HOSTETLER MACMILLAN AU.D., CCC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AUD003683	GA
2	231HA2400X	Assistive Technology Practitioner Audiologist	AUD003683	GA
3	231HA2500X	Assistive Technology Supplier Audiologist	AUD003683	GA
4	237600000X	Audiologist-Hearing Aid Fitter	AUD003683	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710988472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAWN HOSTETLER MACMILLAN AU.D., CCC-A

Provider Business Mailing Address
First Line	:	PO BOX 52
Second Line	:
City	:	POOLER
State	:	GA
Zip	:	31322-0052
Country	:	US
Telephone Number	:	912-748-9494
Fax Number	:	912-748-9495

Provider Business Practice Location Address
First Line	:	410 US HIGHWAY 80 SW
Second Line	:
City	:	POOLER
State	:	GA
Zip	:	31322-2541
Country	:	US
Telephone Number	:	912-748-9494
Fax Number	:	912-748-9495

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	01/21/2015

Similar Medicare Providers

1497725246 — DR. PRESTON LLOYD PEACOCK DC
Practice Location Address:

408 US HIGHWAY 80 SW
POOLER, GA
31322-2541

Practice Phone: 912-748-0350
Practice Fax: 912-450-0350

1982817730 — ANDERSON PROFESSIONAL EYECARE LLC
Practice Location Address:

412 US HIGHWAY 80 SW
POOLER, GA
31322-2541

Practice Phone: 912-748-3937
Practice Fax: 912-748-6758

1518138940 — COASTAL AUDIOLOGY INC.
Practice Location Address:

410 US HIGHWAY 80 SW
POOLER, GA
31322-2541

Practice Phone: 912-748-9494
Practice Fax: 912-748-9495

1851675441 — KENNETH C. FRIES, O.D., P.C.
Practice Location Address:

412 US HIGHWAY 80 SW
POOLER, GA
31322-2541

Practice Phone: 912-748-3937
Practice Fax: 912-748-6758

1326463993 — ADVANCED CHIROPRACTIC CENTER P.C.
Practice Location Address:

408 US HIGHWAY 80 SW
POOLER, GA
31322-2541

Practice Phone: 912-748-0350
Practice Fax: 912-450-0350

1841602372 — KERRI JO HUDSON AU.D.
Practice Location Address:

410 SW US HIGHWAY 80
POOLER, GA
31322-2541

Practice Phone: 912-748-9494
Practice Fax:

Directions to “ DR. DAWN HOSTETLER MACMILLAN AU.D., CCC-A” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.