Edward Stark M.D.

NPI 1093727166 - Urology - 208800000X

NPI Details
NPI 1093727166
Gender Male
Enumeration Date 08/13/2006
Last Updated 01/18/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
500 MEDICAL CENTER BLVD
SUITE 220
LAWRENCEVILLE GA, 30046, US
Phone (770) 963-2451
Fax (770) 962-0017
Business Location
1930 BRANNAN RD
MCDONOUGH GA, 30253-4310, US
Phone (678) 284-4040
Fax (678) 284-4076
Toxanomy
Taxonomy Code 208800000X
License State Georgia
License Number 041680
Remove 1093727166 NPI Number
 

According to our database, Edward Stark M.D. NPI is 1093727166, taxonomy code is 208800000X and license number is 041680, license state is located at Georgia. Edward Stark M.D. physically located at 500 Medical Center Blvd, Lawrenceville GA, 30046. NPI Number Edward Stark M.D. has the Individual type.

Sponsored links

1093727166 NPI number is provided on an as is basis without warranty of any kind. 1093727166 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Stark M.D. are for informational purposes only.