Individual
JOHNNY RICHARD SPROLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1255 N 12TH ST, MIDDLESBORO, KY 40965-1896
(606) 248-5389
(606) 248-5289
Mailing address
1255 N 12TH ST STE 1, MIDDLESBORO, KY 40965-1838
(606) 248-5389
(606) 248-5289
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/11/2022
Last updated
06/11/2022
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