Individual
MR. CLAYTON E SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3227 HENDERSON DRIVE EXT., JACKSONVILLE, NC 28546
(910) 355-2225
(910) 938-2225
Mailing address
3227 HENDERSON DR, JACKSONVILLE, NC 28546-5251
(910) 355-2225
(910) 938-2225
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2590
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890838
—
NC
05
—
890838V
—
NC
Enumeration date
04/13/2006
Last updated
09/10/2014
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