Individual
AMY SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
15720 BRIXHAM HILL AVE, SUITE 300, CHARLOTTE, NC 28277-4651
(704) 944-3109
Mailing address
8416 WREN CREEK DR, CHARLOTTE, NC 28269-6176
(704) 944-3109
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
NC
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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