Organization
DENICE STARLEY, DO, LLC
Active
Other names
Sea Star Pain Specialists, Physical Medicine and Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENICE STARLEY D.O. (OWNER/MEDICAL DIRECTOR)
(702) 622-7983
Entity
Organization
Contact information
Practice address
256 SCRANTON CONNECTOR STE 112, BRUNSWICK, GA 31525-0557
(702) 622-7983
(912) 434-6061
Mailing address
132 W POINT PLANTATION PKWY, ST SIMONS ISLAND, GA 31522-5834
(702) 622-7983
(912) 434-6061
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
065618
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
065618
GEORGIA MEDICAL LICENSE
GA
Enumeration date
03/28/2012
Last updated
03/28/2012
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