Individual
MITCHELL ALAN STARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
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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