Individual
TERESA ANNE STARKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8 SHERIDAN SQUARE, SUITE 110, KINGSPORT, TN 37660
(423) 408-1504
Mailing address
8 SHERIDAN SQUARE, SUITE 110, KINGSPORT, TN 37660
(423) 408-1504
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2973
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q022454
—
TN
Enumeration date
07/07/2016
Last updated
10/17/2018
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