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Individual

MRS. KALIAH AMARI' SPARROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
2817 ROCK MERRITT AVENUE, FORT LIBERTY, NC 28310-0001
(910) 916-2055
Mailing address
5414 SEEDLING RD, FAYETTEVILLE, NC 28311-6817

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-16311
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
01/11/2024
Last updated
03/31/2026
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