Robert T Stark Md,Pc

LBN: Robert T Stark Md,Pc
Robert T Stark Md,Pc is an health care organization with primary practice located at 2005 Pioneer St Ste A , Waycross GA 31501-6205. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Robert T Stark Md,Pc can be contacted via phone (912) 287-1621, or through Stark, Robert Timothy via phone (912) 287-1621.

Contact Information

Primary practice address
2005 Pioneer St Ste A Waycross GA 31501-6205
Phone: (912) 287-1621
Fax: (912) 287-1817
Website:
Map and Directions
Authorized official contact:
Name: Stark, Robert Timothy Doctor of Medicine (MD)
Phone: (912) 287-1621

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 045632 Georgia

Profile Details

NPI number 1053342774
LBN Legal business name Robert T Stark Md,Pc
DBA Doing business as
Authorized official Stark, Robert Timothy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 5th, 2006
Last updated Oct 1st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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