William Tommy Sparks, PA
Physician Assistant in Winston Salem, NC. Individual provider (NPI-1).
NPI number1366040503
StatusActive
Last updated in NPPESJul 16, 2026
Details
- NPI
- 1366040503
- Entity type
- Individual (NPI-1)
- Name
- William Tommy Sparks
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 10, 2020
- Certification date
- Jul 16, 2026
- Last updated
- Jul 16, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-11232 | NC | Yes |
Practice location
3333 Silas Creek PkwyWinston Salem, NC 27103-3013
Phone 336-718-5570 · Fax 336-718-5569
Mailing address
Po Box 935983Atlanta, GA 31193-5983
Phone 336-718-5570 · Fax 336-718-5569
Other practice locations
1 Medical Center Boulevard
Winston Salem, NC 27157-4419
Winston Salem, NC 27157-4419
Phone 336-806-3141
1010 Bethesda Ct
Winston Salem, NC 27103-3019
Winston Salem, NC 27103-3019
Phone 336-718-5570
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