ANDREW DEMERITT STARK

GREENVILLE, NC
NPI1790408102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-12630)
Enumeration Date2022-09-21
Last Update Date2022-10-11
Business Address
ANDREW DEMERITT STARK
526 MOYE BLVD
GREENVILLE, NC 27834-2848
Phone number: 252-847-5755
Mailing Address
ANDREW DEMERITT STARK
2782 RED LANE RD
POWHATAN, VA 23139-5118
Phone number: 804-332-0475
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