Provider Demographics
NPI:1871938100
Name:STARKWEATHER, JANA (LAC, DACM)
Entity type:Individual
Prefix:MRS
First Name:JANA
Middle Name:
Last Name:STARKWEATHER
Suffix:
Gender:F
Credentials:LAC, DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:297 PRINCE AVE
Mailing Address - Street 2:SUITE 19B
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30601-2480
Mailing Address - Country:US
Mailing Address - Phone:706-621-3853
Mailing Address - Fax:
Practice Address - Street 1:297 PRINCE AVE
Practice Address - Street 2:SUITE 19B
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-2480
Practice Address - Country:US
Practice Address - Phone:706-621-3853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-30
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA307171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist