Search › Georgia › 363AM0700X
Bradley Page, PA
NPI 1265490098 · on the registry since 2006
Practice
- Address
- 2005 Pioneer St Ste C
Waycross, GA 31501 - Phone
- (912) 490-7777
- Fax
- (912) 490-7778
- Organisation at this address
- Robert T Stark Md,Pc
David Wykstra, Md, Pc
Diabetes & Endocrine Treatment Center
Diabetes And Endocrine Treatment Center Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 711 Knight Ave, Waycross, GA
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 207Q00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia