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Individual

MS. MELISSA DIANE SPARKS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
300 PITTS SCHOOL RD, CONCORD, NC 28027
(704) 788-4500
Mailing address
118 PADDINGTON DR SW, CONCORD, NC 28025-5794
(704) 796-5046

Taxonomy

Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
0393
NC

Other

Enumeration date
05/23/2006
Last updated
07/08/2007
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