Individual
ERIC WILLIAM STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10030 GILEAD RD, SUITE 360, HUNTERSVILLE, NC 28078-7545
(704) 316-5560
(704) 316-5561
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-5560
(704) 316-5561
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103198
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0579PA
SC MEDICAID
NC
05
—
1174625024
—
NC
05
—
8101189
—
NC
Enumeration date
09/02/2006
Last updated
10/28/2020
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