Individual
MITCHELL ALAN STARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
200 FLEETWOOD DR, EASLEY, SC 29640-2022
(864) 442-7820
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
15615
SC
207L00000X
Anesthesiology Physician
58784
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037855752A
—
GA
05
—
037855752B
—
GA
01
—
P00351839
RR MEDICARE
GA
Enumeration date
06/24/2006
Last updated
09/24/2016
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