Individual
DR. JEFFREY L STARK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2959 SHARPSBURG MCCOLLUM RD, NEWNAN, GA 30265
(770) 502-2000
(770) 502-2049
Mailing address
2959 SHARPSBURG MCCOLLUM RD, NEWNAN, GA 30265
(770) 502-2000
(770) 502-2049
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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