| NPI | 1518138510 |
|---|---|
| Doing Business As | SPARKS CLINIC NON PHYSICIAN OPTION |
| Entity Type | Organization |
| Authorized Contact | ALAN K PERCY Director 205-934-0741 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |