Individual
NATHANIEL THOMAS SPARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26 3RD ST, BELMONT, MS 38827-7737
(662) 494-4520
(662) 494-4521
Mailing address
26 3RD ST, BELMONT, MS 38827-7737
(662) 454-4520
(662) 454-4521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29376
MS
Other
Enumeration date
06/01/2020
Last updated
07/03/2023
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