Sparks, Gerald Anthony

Sparks, Gerald Anthony is an individual health care provider with primary practice located at 1903 Hand Ave , Bay Minette AL 36507-4112. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Sparks, Gerald Anthony can be contacted via phone (251) 937-7970.

Contact Information

Primary practice address
1903 Hand Ave Bay Minette AL 36507-4112
Phone: (251) 937-7970
Fax: (251) 937-9260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21976 Alabama
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 00021976 Alabama

Profile Details

NPI number 1770533507
LBN Legal business name Sparks, Gerald Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Feb 2nd, 2011 - about 13 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 1770533507 NPPES
Other 510-03800 BCBS
MEDICAID 009996010 BCBS
Other 1770533507 BCBS
Other 51510991 BCBS
MEDICAID 009936961 BCBS

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