Individual provider · Type 1 NPI

Jerry Lyle Starr, PA-C

Surgical Physician Assistant · Fort Moore, GA

NPI number 1194706358 Active

About NPI 1194706358

Jerry Lyle Starr, PA-C's National Provider Identifier is 1194706358, issued on Nov 7, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fort Moore, GA. The record was last updated on Jul 31, 2024.