Organization
SPARKS CHIROPRACTIC SERVICES PA
Active
Parent organization
SPARKS CHIROPRACTIC SERVICES
Other names
SPARKS CHIROPRACTIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPARKS CHIROPRACTIC SERVICES
Authorized official
DR. CLAYTON E SPARKS D.C. (OWNER)
(910) 355-2225
Entity
Organization
Contact information
Practice address
3227 HENDERSON DR EXT, JACKSONVILLE, NC 28546
(910) 355-2225
(910) 355-2225
Mailing address
3227 HENDERSON DR, JACKSONVILLE, NC 28546-5251
(910) 355-2225
(910) 355-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2590
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
690278A
—
NC
Enumeration date
09/20/2006
Last updated
12/11/2015
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