Provider Demographics
NPI:1336233543
Name:SPARKS & FAVOR PC
Entity Type:Organization
Organization Name:SPARKS & FAVOR PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-397-1286
Mailing Address - Street 1:2006 BROOKWOOD MEDICAL CENTER DRIVE
Mailing Address - Street 2:STE 700
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209
Mailing Address - Country:US
Mailing Address - Phone:205-397-1286
Mailing Address - Fax:205-397-1340
Practice Address - Street 1:2006 BROOKWOOD MEDICAL CENTER DRIVE
Practice Address - Street 2:STE 700
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209
Practice Address - Country:US
Practice Address - Phone:205-397-1286
Practice Address - Fax:205-397-1340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty