SUSAN SPARKS

CHARLOTTE, NC
NPI1881798445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207SG0201X Medical Genetics, Clinical Genetics (M.D.)
(Licence: NC  2009-00112)
Additional Taxonomies208000000X Pediatrics
(Licence: VA  0101238604)
208000000X Pediatrics
(Licence: DC  MD035678)
208000000X Pediatrics
(Licence: MD  D0065089)
208000000X Pediatrics
(Licence: NC  2009-00112)
Enumeration Date2006-09-12
Last Update Date2009-05-20
Business Address
-- SUSAN SPARKS MD
1000 BLYTHE BLVD
CHARLOTTE, NC 28203-5812
Phone number: 704-381-6810
Mailing Address
-- SUSAN SPARKS MD
PO BOX 601372
CHARLOTTE, NC 28260-1372
Phone number: 704-381-6810