Individual
GERALD ELMER STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 N PALISADES DR, SIGNAL MOUNTAIN, TN 37377-3041
(423) 889-1590
Mailing address
326 N PALISADES DR, SIGNAL MOUNTAIN, TN 37377-3041
(423) 889-1590
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
ORT0000000013
TN
224P00000X
Prosthetist
Primary
PR00000000014
TN
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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