Individual
PRESTON AVERY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 DESALES AVE, CHATTANOOGA, TN 37404-1161
(423) 495-7404
(423) 495-2625
Mailing address
1949 GUNBARREL RD STE 206, CHATTANOOGA, TN 37421-7133
(423) 495-4349
(423) 495-4934
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
67883
TN
208M00000X
Hospitalist Physician
67883
TN
Other
Enumeration date
03/23/2017
Last updated
06/27/2023
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