Organization
TONY SPARKS, LLC DBA HAZLEHURST PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONY LEWIS SPARKS FNP (CEO)
(404) 821-7687
Entity
Organization
Contact information
Practice address
143 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6466
(912) 375-3360
(912) 375-3365
Mailing address
143 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6466
(912) 375-3360
(912) 375-3365
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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