James Edwin Stark in Atlanta - Forensic

James Edwin Stark - NPI 1356492037

James Edwin Stark is a Forensic in Atlanta, Georgia. James Edwin Stark practices all healthcare services and medical treatments related to Forensic. The NPI Number for James Edwin Stark is 1356492037. The last update date is 2009-01-14.

James Edwin Stark's current location address is 1755 The Exchange Se, Atlanta, Georgia. You can contact this provider via phone number 7705419988 and fax number 7705419977. The mailing address for James Edwin Stark is 1755 The Exchange Se, Atlanta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name James Edwin Stark
Address 1755 The Exchange Se, Atlanta, Georgia
Phone Number 7705419988
Fax Number 7705419977
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1356492037
Provider Enumeration Date 2007-01-16
Last Updated Date 2009-01-14

Provider Mailing Address Detail

Address 1755 The Exchange Se
City Atlanta
State Georgia (GA)
Post Code 303397400
Phone Number 7705419988
Fax Number 7705419977

Provider's Primary Taxonomy Detail

Speciality Forensic
Taxonomy 103Tf0200X
Licence No 298
Definition:
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000041544A GA --

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FAQs about James Edwin Stark

What is the James Edwin Stark's 1356492037?

The James Edwin Stark's NPI (National Provider Identifier) Number is 1356492037. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the James Edwin Stark's physical address?

The James Edwin Stark is physically located at 1755 The Exchange Se, in the city of Atlanta, GA, with the postal code 303397400.

What is James Edwin Stark's specialized field of practice, and what is the corresponding taxonomy classification code?

The James Edwin Stark's area of specialization is Forensic, and the corresponding taxonomy code that categorizes this field of practice is 103Tf0200X.

When did James Edwin Stark receive its 1356492037 assignment?

The James Edwin Stark was assigned its 1356492037 on 2007-01-16, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to James Edwin Stark last refreshed?

The information related to the James Edwin Stark, including its address, specialty, and other relevant details, was last updated on 2009-01-14.

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