Provider Demographics
NPI:1144258831
Name:STARKE, CINDY BUCKNER (MD)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:BUCKNER
Last Name:STARKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:BUCKNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 742616
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-2616
Mailing Address - Country:US
Mailing Address - Phone:770-219-8420
Mailing Address - Fax:
Practice Address - Street 1:35 HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30512-3139
Practice Address - Country:US
Practice Address - Phone:706-754-2111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA051390207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA01065247OtherAMERIGROUP
GA7110179292CMedicaid
GA393300OtherWELLCARE
GA52023205OtherBCBS
GA711017929GMedicaid
GA7940514OtherAETNA
GAP00656845OtherMEDICARE RAILROAD
GA711017929FMedicaid
GA2271474OtherUHC
GA3502108OtherCIGNA
GA711017929DMedicaid
GA711017929FMedicaid
GA711017929GMedicaid