Organization
FAIRMOUNT FAMILY MEDICINE PC
Active
Organization
FAIRMOUNT FAMILY MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY LEWIS SPARKS FNP (PRESIDENT)
(706) 337-1930
Entity
Organization
Contact information
Practice address
2712 HIGHWAY 411 SE, FAIRMOUNT, GA 30139-3219
(706) 337-1930
(706) 337-1910
Mailing address
PO BOX 703, FAIRMOUNT, GA 30139-0703
(706) 337-1930
(706) 337-1910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
32319
GA
363LF0000X
Family Nurse Practitioner
Primary
RN107315
GA
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up