Individual
TAYLOR SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRS
Contact information
Practice address
5645 MERCHANTS CENTER BLVD, KNOXVILLE, TN 37912-3470
(865) 585-8322
Mailing address
5645 MERCHANTS CENTER BLVD, KNOXVILLE, TN 37912-3470
(865) 585-8322
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
000-1343
TN
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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