Individual
DR. TAYLOR LEE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC, ATC
Contact information
Practice address
116 SAVANNAH AVE, STATESBORO, GA 30458-4801
(607) 382-7345
Mailing address
417 ANDOVER DR, STATESBORO, GA 30458-4359
(607) 382-7345
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR010508
GA
2255A2300X
Athletic Trainer
AL5002
FL
Other
Enumeration date
03/16/2017
Last updated
03/23/2021
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