NPI 1609187889
Preston Jeremy Sparks, DO
Practice location
- Address
- 1120 15th St, Augusta, GA 30912-5867
- Phone
- (706) 721-8623
- Mailing address
- 300 Hospital Road, Fort Gordon, GA 30905
Registered specialties (2)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Surgery Physician
Registry record
- NPI
- 1609187889
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 23 Jun 2010
- Record last updated
- 14 Jul 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.