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Sparkle Berry
NPI 1780419267 · on the registry since 2024
Practice
- Address
- 4046 Rockmill Cv
Ellenwood, GA 30294 - Phone
- (407) 747-8334
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia