Provider Demographics
NPI:1528044872
Name:STARLING, TINA M (CWO)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:M
Last Name:STARLING
Suffix:
Gender:F
Credentials:CWO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1833
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27906-1833
Mailing Address - Country:US
Mailing Address - Phone:252-335-6527
Mailing Address - Fax:
Practice Address - Street 1:U.S. COAST GUARD
Practice Address - Street 2:SUPPORT CENTER MEDICAL
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909
Practice Address - Country:US
Practice Address - Phone:252-335-6527
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1710I1003XOther Service ProvidersMilitary Health Care ProviderIndependent Duty Medical Technicians