Individual
BILLIE JO STARLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 HARMON AVE, FT STEWART, GA 31314
(912) 435-6633
Mailing address
526 BENNETTS CIR, JESUP, GA 31545-3046
(912) 256-4475
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L067209
GA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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