Basic Information
| Provider Information | |||||||||
| NPI: | 1881681344 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | STARLING | ||||||||
| FirstName: | CARROLL | ||||||||
| MiddleName: | CURT | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 3383 | ||||||||
| Address2: | |||||||||
| City: | MOULTRIE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 317763383 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2295029730 | ||||||||
| FaxNumber: | 2295029730 | ||||||||
| Practice Location | |||||||||
| Address1: | 4 LIVE OAK CT | ||||||||
| Address2: | |||||||||
| City: | MOULTRIE | ||||||||
| State: | GA | ||||||||
| PostalCode: | 31768 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2297852400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/30/2005 | ||||||||
| LastUpdateDate: | 06/07/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207XX0005X | 040847 | GA | Y | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine |
ID Information
| ID | Type | State | Issuer | Description | G00557A | 01 | GA | MEDICARE PTAN | OTHER | 000954192B | 05 | GA | MEDICAID |