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Individual

DR. MARTHA G. SPARROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1400 DUTCH VALLEY RD, KNOXVILLE, TN 37918
(865) 689-1122
(865) 689-2923
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901
(865) 522-9730
(865) 637-2520

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD24121
TN
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
MD24121
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3023583
BCBS
TN
01
3036621
BLUE CROSS
TN
05
3072796
TN
05
64914328
KY
Enumeration date
07/02/2006
Last updated
06/18/2014
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