Robert T Stark Md,pc

NPI #1053342774 in Waycross, Georgia

Provider Information

NPI Number
1053342774
Entity Type
Organization
Organization Name
Robert T Stark Md,pc
Primary Specialty
Preferred Provider Organization
Enumeration Date
Jul 5, 2006
Last Updated
Oct 1, 2010

Practice Location

Address
2005 PIONEER ST STE A
State
Georgia
ZIP Code
31501-6205
Phone
(912) 287-1621

Authorized Official

Name
DR. ROBERT TIMOTHY STARK, M.D.
Title
PHYSICIAN
Phone
(912) 287-1621

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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