Individual
EDDIE S. STARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-9541
(601) 703-9947
Mailing address
1800 12TH ST, MERIDIAN, MS 39301-4158
(601) 703-4282
(601) 703-4597
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12904
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115313
—
MS
01
—
009108670
MEDICAID OF AL
AL
01
—
2930033
UHC
—
01
—
73061531
BLUE CROSS OF AL
AL
Enumeration date
03/02/2006
Last updated
11/08/2013
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