Individual
NICHOLAS SPARACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
205 LANIER DR, STATESBORO, GA 30458-1524
(912) 478-1001
Mailing address
PO BOX 8082 STATESBORO GA 30460 ATHLETIC TRAINING ROOM, STATESBORO, GA 30460-0001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1854
TN
2255A2300X
Athletic Trainer
Primary
AT002542
GA
Other
Enumeration date
09/18/2014
Last updated
06/10/2025
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