Individual
MATTHEW A SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 DUKE MEDICINE CIR, DURHAM, NC 27710-4000
(919) 684-8111
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 684-9960
(919) 684-3011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-4947
AR
207RN0300X
Nephrology Physician
Primary
2007-00573
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06080016100
QUALCHOICE
AR
05
—
162843001
—
AR
01
—
5N634
BCBS
AR
01
—
P00351561
RAILROAD MEDICARE
AR
01
—
T2006094
TRICARE
AR
Enumeration date
09/24/2006
Last updated
05/03/2012
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