Provider Demographics
NPI:1144856808
Name:STARKES, LINDA
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:STARKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 E STONE AVE STE 8
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-5655
Mailing Address - Country:US
Mailing Address - Phone:864-534-1804
Mailing Address - Fax:864-534-1805
Practice Address - Street 1:217 E STONE AVE STE 8
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-5655
Practice Address - Country:US
Practice Address - Phone:864-534-1804
Practice Address - Fax:864-534-1805
Is Sole Proprietor?:No
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC56906163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse