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1366040503
WILLIAM TOMMY SPARKS
WINSTON SALEM, NC
NPI
1366040503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-11232)
Enumeration Date
2020-10-10
Last Update Date
2024-08-08
Business Address
WILLIAM TOMMY SPARKS PA
3333 SILAS CREEK PKWY
WINSTON SALEM, NC 27103-3013
Phone number: 336-718-5570
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Mailing Address
WILLIAM TOMMY SPARKS PA
PO BOX 935983
ATLANTA, GA 31193-5983
Phone number: 336-718-5570
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