Robert T Stark MD, PC
Robert T Stark MD, PC is a Preferred Provider Organization in Waycross, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2005 Pioneer St Ste AWaycross, GA 31501-6205
Phone: (912) 287-1621
Fax: (912) 287-1817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 045632 (GA) |
|---|
Record details
| NPI number | 1053342774 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Stark — Physician · (912) 287-1621 |
| NPI enumerated | July 5, 2006 |
| Last updated in NPPES | October 1, 2010 |
| Mailing address | 2005 Pioneer St Ste A, Waycross, GA 31501-6205 |