Individual
DR. JEFFREY L STARK JR.
Active
Individual
DR. JEFFREY L STARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
058511
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003106688A
—
GA
Enumeration date
01/31/2008
Last updated
11/30/2011
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