Wanda J Starling MD LLC
Organization Active NPI Family Medicine Physician · Landrum, SC
NPI 1992296172 · NPPES record last updated May 23, 2018
Key facts
- NPI
- 1992296172
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14152 (SC)
- Legal business name
- WANDA J STARLING MD LLC
- Practice address
- 1014 S Blackstock Road
Landrum, SC 29356-9136 - Phone
- (864) 457-2033
- Fax
- (864) 457-5504
- NPI assigned
- May 23, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- WANDA J STARLING MD LLC
Authorized official
- Name
- Dr. Wanda Jennings Starling, MD
- Title
- Sole Owner
- Phone
- (864) 457-2033
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D0918271 | Wanda J Starling MD | Provider-performed microscopy | Aug 4, 2026 |
National Provider Directory
- Part of
- Wanda J Starling MD LLC
Locations
1014 S Blackstock Rd
Landrum, SC 29356
Phone (803) 457-2033
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 14152 | SC | Yes |
Addresses
Primary practice location
1014 S Blackstock Road
Landrum, SC 29356-9136
Mailing address
1014 S Blackstock Road
Landrum, SC 29356-9136
Phone (864) 457-2033
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- Paul David Walters
- Jason Lee Watson
- Maria White
- Julie Ann Wilkinson
- Jeffrey Scott Williams
- Michael Edmond Williams
All providers in Landrum, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.