Individual
TAMALA S. SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1020 TUSCALOOSA AVE, GADSDEN, AL 35901-3005
(256) 546-4606
Mailing address
3643 LAKEFRONT DR, SOUTHSIDE, AL 35907-0540
(256) 613-1101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-070362
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165014 (ANNISTON)
—
AL
05
—
165246
—
AL
Enumeration date
08/29/2007
Last updated
12/23/2014
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