NPI | 1982126587 |
---|---|
Doing Business As | SPARKMAN FAMILY PRACTICE & URGENT CARE |
Entity Type | Organization |
Authorized Contact | RAYMOND C ANDREWS CEO 256-512-5505 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine |
208000000X Pediatrics | |
Enumeration Date | 2017-07-14 |
Last Update Date | 2024-05-22 |