Provider Demographics
NPI:1124567201
Name:SPARLIN HEALTHCARE
Entity Type:Organization
Organization Name:SPARLIN HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN ASSISTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:HAROLD
Authorized Official - Last Name:SARTORI
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:404-753-3141
Mailing Address - Street 1:923 DILL AVE SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310-4145
Mailing Address - Country:US
Mailing Address - Phone:404-753-3141
Mailing Address - Fax:
Practice Address - Street 1:923 DILL AVE SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-4145
Practice Address - Country:US
Practice Address - Phone:404-753-3141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002380261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center