Individual
DR. VICTOR LEE SPARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8000 AL HIGHWAY 69, GUNTERSVILLE, AL 35976-7140
(256) 753-8000
Mailing address
8000 AL HIGHWAY 69, GUNTERSVILLE, AL 35976-7140
(256) 753-8000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00019418
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009986245
—
AL
01
—
51526381SPA
BLUE SHIELD
AL
01
—
P00101956
RAILROAD MEDICARE
AL
Enumeration date
06/12/2006
Last updated
06/11/2012
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