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Individual

GEORGE ALLEN STARKWEATHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 W 4TH ST, SUITE 310, COOKEVILLE, TN 38501-2448
(931) 528-7877
(931) 526-3261
Mailing address
100 W 4TH ST, SUITE 310, COOKEVILLE, TN 38501-2448
(931) 528-7877
(931) 526-3261

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD0000026515
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050060688
MEDICARE RAILROAD
01
3043001
BCBS
TN
05
3089873
TN
05
64925589
KY
Enumeration date
10/18/2005
Last updated
07/13/2010
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