Individual
MELISSA JO SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 EAST HOSPITAL ROAD, FT EISENHOWER, GA 30905
(706) 787-6945
(706) 787-8131
Mailing address
300 EAST HOSPITAL ROAD, FORT GORDON, GA 30905-5650
(706) 787-6945
(706) 787-8131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29065
NE
207R00000X
Internal Medicine Physician
Primary
90861
GA
Other
Enumeration date
06/18/2014
Last updated
08/20/2025
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