Individual
NORMA J SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
625 E 12TH ST, SOUTH PITTSBURG, TN 37380-1630
(423) 648-4460
(423) 648-4461
Mailing address
6170 SHALLOWFORD RD, 101, CHATTANOOGA, TN 37421-1892
(423) 648-4500
(423) 855-7563
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000000073
TN
Other
Enumeration date
06/15/2006
Last updated
04/01/2008
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