Individual
DR. JOHN A SPROVIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
551 RIVERSTONE PKWY, SUITE 100, CANTON, GA 30114-5292
(770) 345-4520
(770) 992-3676
Mailing address
551 RIVERSTONE PKWY, SUITE 100, CANTON, GA 30114-5292
(770) 345-4520
(770) 992-3676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR006735
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHIR006735
CHIROPRACTIC LICENSE
GA
Enumeration date
09/19/2011
Last updated
09/19/2011
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