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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBERT T STARK MD,PC

Active Organization

ROBERT T STARK MD,PC is a Preferred Provider Organization organization located in WAYCROSS, Georgia. NPI 1053342774 is currently active in the NPPES registry. Verify at CMS.

Preferred Provider Organization · WAYCROSS, GA

Registration Details

NPI Number
1053342774
Provider Type
Organization
NPI Issued
Jul 5, 2006 (20.141678395999 yrs)
Last Updated
Oct 1, 2010
License
045632 (GA)

Practice Information

Address
2005 PIONEER ST STE A
WAYCROSS, GA, 315016205
Browse GA providers · Browse ZIP 31501
Phone
9122871621
Fax
9122871817
Primary Specialty
Preferred Provider Organization
305R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.