Individual
KAYLYN SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1202 US HIGHWAY 41 N, TIFTON, GA 31794-3202
(229) 586-8193
Mailing address
138 SALEM CHURCH RD, TIFTON, GA 31793-6748
(229) 402-9513
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH033226
GA
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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