Provider Demographics
NPI:1356314710
Name:STARR, DON CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:DON
Middle Name:CHARLES
Last Name:STARR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 MAD TURKEY XING
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31411-1416
Mailing Address - Country:US
Mailing Address - Phone:912-598-0532
Mailing Address - Fax:912-598-5029
Practice Address - Street 1:12 MAD TURKEY XING
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31411-1416
Practice Address - Country:US
Practice Address - Phone:912-598-0532
Practice Address - Fax:912-598-5029
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA016695174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00018796AMedicaid
GA00018796AMedicaid
GAF24868Medicare UPIN