Individual provider · Type 1 NPI

Tiffany L. Stark, PA

Physician Assistant · Fort Stewart, GA

NPI number 1104452218 Active

Practice location

1061 Harmon Ave
Fort Stewart, GA 31314-5641

Mailing address

1108 Creekside Cir
Hinesville, GA 31313-2574

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1104452218

Tiffany L. Stark, PA's National Provider Identifier is 1104452218, issued on Mar 20, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Stewart, GA. The record was last updated on Mar 20, 2020.