SearchGeorgia183500000X

Kaylyn Sparks

NPI 1063140929 · on the registry since 2022

Practice

Address
1202 Us Highway 41 N
Tifton, GA 31794
Phone
(229) 586-8193
Organisation at this address
South Georgia Drug Company Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia