Individual
ERICA M SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3059 VININGS FERRY DR SE, ATLANTA, GA 30339-4343
(413) 250-2472
Mailing address
3059 VININGS FERRY DR SE, ATLANTA, GA 30339-4343
(413) 250-2472
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
225969
GA
Other
Enumeration date
04/19/2010
Last updated
06/08/2015
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