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Individual

CAROLINE SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3596 OLD MILTON PKWY, ALPHARETTA, GA 30005-4465
(770) 559-5834
Mailing address
873 HALLBROOK LN, MILTON, GA 30004-3095
(678) 206-7528

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F332073-1
NY
363LF0000X
Family Nurse Practitioner
Primary
RN206033
GA

Other

Enumeration date
10/08/2012
Last updated
10/08/2012
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