Healthcare Provider Details

I. General information

NPI: 1821083106
Provider Name (Legal Business Name): CHRITSOPHER T. STARNES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/13/2005
Last Update Date: 03/11/2023
Certification Date: 03/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 WOODLAND DR SW
WISE VA
24293-4623
US

IV. Provider business mailing address

5542 BURWELL RD
WISE VA
24293-5929
US

V. Phone/Fax

Practice location:
  • Phone: 276-365-8071
  • Fax: 276-221-1529
Mailing address:
  • Phone: 276-365-8071
  • Fax: 276-221-1529

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number39257
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101237492
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: