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STARR'S MILL INTERNAL MEDICINE LLC NPI 1689724809


NPI Information

NPI: 1689724809
Provider Name: STARR'S MILL INTERNAL MEDICINE, LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 11D0983347

Address:
1330 HIGHWAY 74
MAY HOUSE
FAYETTEVILLE, GA
ZIP 30215
Phone: (770) 631-2502
Get Directions

STARR'S MILL INTERNAL MEDICINE, LLC is an internal medicine in Fayetteville, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. STARR'S MILL INTERNAL MEDICINE, LLC NPI is 1689724809. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1330 HIGHWAY 74
MAY HOUSE
FAYETTEVILLE, GA
ZIP 30215-950
Phone: (770) 631-2502
Fax: (770) 631-2503

The provider's authorized official is Anthony F Lawson .
The authorized official title is President and has the following contact phone number (770) 631-2502.

The CLIA number assigned to this NPI record is 11D0983347 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 3/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsGEORGIANo
2207R00000XInternal MedicineGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111D0983347OTHERGEORGIACLIA #
2DC7883OTHERGEORGIARAILROAD MEDICARE GRP #
3GRP7039MEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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