Neil Leslie Sparks, DO Valid NPI

Individual provider · Sports Medicine (Family Medicine) Physician · Winston Salem, NC

NPI

1710113733

Type

Individual (Type 1)

Primary specialty

Sports Medicine (Family Medicine) Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207QS0010X

License number

2012-01633 (NC)

Sex

Male

Sole proprietor

No

Enumerated

2009-06-04

Last updated

2018-11-12