Lookup NPI Numbers from the NPI Registry
NPI Profile for JORDAN SPARKS in MOULTRIE, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical |
363AM0700X | 97 | Physician Assistant | |
Orthopaedic Assistant |
246ZX2200X |
| NPI Number | 1245925544 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 04/11/2023 | |
| Last updated | 03/05/2026 - About 3 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JORDAN SPARKS
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JORDAN SPARKS, PA-C