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Edward Stark, MD
Urology Physician in Lawrenceville, Georgia
NPI 1093727166

Edward Stark is a Urology Physician based in Mcdonough, GA. Edward Stark practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Edward Stark is 1093727166 and holds a License No. 041680 (Georgia).

The current practice location address for Edward Stark is 500 Medical Center Blvd, Lawrenceville, GA and can be reached out via phone at 770-963-2451 and via fax at 770-962-0017. You can also correspond with Edward Stark through the mailing address at 1930 BRANNAN RD, MCDONOUGH, GA - 30253-4310 (mailing address contact number: 678-284-4040).

Location: 500 Medical Center Blvd, Lawrenceville, GA, 30253-4310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093727166
Provider Name
Edward Stark
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
500 Medical Center Blvd, Lawrenceville, GA, 30253-4310
Phone Number
770-963-2451
Fax Number
770-962-0017
Provider Enumeration Date
08/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
340015407 01 GA RAILROAD MEDICARE
000707891G 05 GA
institution
Provider Business Practice Location Address Details
Address
500 Medical Center Blvd
City
Lawrenceville
State
Georgia
Zip
30046
Phone Number
770-963-2451
Fax Number
770-962-0017
person
Provider Business Mailing Address Details
Address
500 Medical Center Blvd
City
Lawrenceville
State
Georgia
Zip
30046
Phone Number
770-963-2451
Fax Number
770-962-0017
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
041680 (Georgia)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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