Individual
MR. JEFF WAYNE SPRINKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
383 S PINE ST, A, SPARTANBURG, SC 29302-2650
(864) 591-2242
(864) 591-2037
Mailing address
383 S PINE ST, A, SPARTANBURG, SC 29302-2650
(864) 591-2242
(864) 591-2037
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13768721921
INDIVIDUAL NPI NUMBER
SC
05
—
7795443
—
NC
05
—
DE2685
—
SC
Enumeration date
12/08/2009
Last updated
01/26/2010
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