John Sprouse
NPI #1043471006 in Greenwood, South Carolina
Provider Information
- NPI Number
- 1043471006
- Entity Type
- Organization
- Organization Name
- John Sprouse
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 23, 2008
- Last Updated
- Jun 17, 2010
Practice Location
- Address
- 1513 MONTAGUE AVENUE EXT
- City
- Greenwood
- State
- South Carolina
- ZIP Code
- 29649-9030
- Phone
- (864) 229-3997
Authorized Official
- Name
- JOHN SPROUSE
- Title
- OWNER
- Phone
- (864) 229-3997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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