Provider Demographics
NPI:1811741457
Name:MCGLAUGHN-STARKS, SAMANTHIA C (MSN, FNP-C, FNP-BC)
Entity type:Individual
Prefix:
First Name:SAMANTHIA
Middle Name:C
Last Name:MCGLAUGHN-STARKS
Suffix:
Gender:F
Credentials:MSN, FNP-C, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4048 FAIRMONT ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-2694
Mailing Address - Country:US
Mailing Address - Phone:816-927-9768
Mailing Address - Fax:
Practice Address - Street 1:4995 LANIER ISLANDS PKWY
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-1741
Practice Address - Country:US
Practice Address - Phone:678-773-0007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN264796363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily