MR. Jerry Lyle Starr, PA-C
NPI #1194706358 in Fort Moore, Georgia
Provider Information
- NPI Number
- 1194706358
- Entity Type
- Individual
- Name
- MR. Jerry Lyle Starr, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA-C
- Enumeration Date
- Nov 7, 2005
- Last Updated
- Jul 31, 2024
Practice Location
- Address
- 6600 VAN AALST BLVD
- City
- Fort Moore
- State
- Georgia
- ZIP Code
- 31905-2102
- Phone
- (762) 408-1374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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