Individual
DR. TIFFANY OLIVIA SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3200 MACCORKLE AVE SE, WVU BEHAVIORAL MEDICINE, CLINICAL TEACHING CENTER, CHARLESTON, WV 25304-1227
(304) 388-1000
(304) 388-1041
Mailing address
850 S PARK RD, CHARLESTON, WV 25304-2632
(304) 925-4380
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
23877
WV
Other
Enumeration date
04/20/2007
Last updated
04/06/2022
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