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General NPI Number Information
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NPI Number | 1144258831
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Entity Type | Individual
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Provider Name | CINDY BUCKNER STARKE MD
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Gender | Female
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 05/07/2024
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Provider Practice Location Address
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Address Line | 35 HOSPITAL RD
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City | BLAIRSVILLE
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State | GA
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Zip | 30512-3139
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Country | US
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Telephone | 706-754-2111
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 742616
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City | ATLANTA
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State | GA
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Zip | 30374-2616
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Country | US
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Telephone | 770-219-8420
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 051390
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 051390
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License Number State | GA
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