Shane Sparks is a Psychiatry in Conway, Arkansas. Shane Sparks practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Shane Sparks is 1306032438. The last update date is 2016-12-13.
Shane Sparks's current location address is 1725 Centennial Club Dr, Conway, Arkansas. You can contact this provider via phone number 5016905134. The mailing address for Shane Sparks is 1725 Centennial Club Dr, Conway, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Sparks |
|---|---|
| Address | 1725 Centennial Club Dr, Conway, Arkansas |
| Phone Number | 5016905134 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306032438 |
|---|---|
| Provider Enumeration Date | 2007-09-21 |
| Last Updated Date | 2016-12-13 |
Provider Mailing Address Detail
| Address | 1725 Centennial Club Dr |
|---|---|
| City | Conway |
| State | Arkansas (AR) |
| Post Code | 720348194 |
| Phone Number | 5016905134 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | E-6553 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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What is the unique 10-digit identifier code issued to Shane Sparks by the Centers for Medicare & Medicaid Services?
The Shane Sparks has been assigned the NPI (National Provider Identifier) 1306032438 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Shane Sparks's facilities are situated?
The facilities of Shane Sparks are physically located at the following address: 1725 Centennial Club Dr, Conway, AR, 720348194.
What is Shane Sparks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shane Sparks is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
When did the Shane Sparks receive its 1306032438?
The Shane Sparks was issued its 1306032438 on 2007-09-21, which is the date when the organization was assigned this unique identifier.
As of what date were the Shane Sparks's details last updated?
The information pertaining to the Shane Sparks, including its address, specialty, and other details, was most recently updated on 2016-12-13.
NPI Number: 1376546309
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