Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffany L Stark, PA

Individual provider Physician Assistant · NPI 1104452218

Tiffany L Stark, PA is a Physician Assistant in Fort Stewart, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1061 Harmon Ave
Fort Stewart, GA 31314-5641
Phone: (912) 435-6633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1104452218
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 20, 2020
Last updated in NPPESMarch 20, 2020
Certification dateMarch 20, 2020

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