Individual
DR. JAMES EDWIN STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1755 THE EXCHANGE SE, SUITE 375, ATLANTA, GA 30339-7400
(770) 541-9988
(770) 541-9977
Mailing address
1755 THE EXCHANGE SE, SUITE 375, ATLANTA, GA 30339-7400
(770) 541-9988
(770) 541-9977
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
298
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000041544A
—
GA
Enumeration date
01/16/2007
Last updated
01/14/2009
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