Organization · Type 2 NPI
Robert T Stark Md,pc
Preferred Provider Organization · Waycross, GA
NPI number
1053342774
Active
Practice location
2005 Pioneer St Ste A
Waycross, GA 31501-6205
Fax (912) 287-1817
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 045632 (GA) |
Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
About NPI 1053342774
Robert T Stark Md,pc's National Provider Identifier is 1053342774, issued on Jul 5, 2006. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Waycross, GA. The record was last updated on Oct 1, 2010.