Individual
JIMMY MITCHELL SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2006 BROOKWOOD MEDICAL CENTER DRIVE, STE 700, BIRMINGHAM, AL 35209
(205) 397-1286
(205) 397-1340
Mailing address
2006 BROOKWOOD MEDICAL CENTER DRIVE, STE 700, BIRMINGHAM, AL 35209
(205) 397-1286
(205) 397-1340
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
11332
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000084452
—
AL
01
—
1358121
UNITED HEALTHCARE
AL
01
—
51098587
BCBS OF AL
AL
Enumeration date
10/02/2006
Last updated
03/04/2013
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