Sparks, Tamala S.

Sparks, Tamala S. is an individual health care provider with primary practice located at 1020 Tuscaloosa Ave , Gadsden AL 35901-3005. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Sparks, Tamala S. can be contacted via phone (256) 546-4606.

Contact Information

Primary practice address
1020 Tuscaloosa Ave Gadsden AL 35901-3005
Phone: (256) 546-4606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-070362 Alabama

Profile Details

NPI number 1265626691
LBN Legal business name Sparks, Tamala S.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2007
Last updated Dec 23rd, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265626691 NPPES
Alabama MEDICAID 165014 (ANNISTON)
Alabama MEDICAID 165246

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