Individual
ANDREW DEMERITT STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
526 MOYE BLVD, GREENVILLE, NC 27834-2848
(252) 847-5755
Mailing address
2782 RED LANE RD, POWHATAN, VA 23139-5118
(804) 332-0475
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12630
NC
Other
Enumeration date
09/21/2022
Last updated
12/19/2024
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