Individual
JOHN MICHAEL STAVRINAKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
4200 STRONG ROCK PKWY, LOCUST GROVE, GA 30248-2908
(843) 408-5308
Mailing address
4200 STRONG ROCK PKWY, LOCUST GROVE, GA 30248-2908
(843) 408-5308
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000004372
GA
2255A2300X
Athletic Trainer
AT002673
GA
Other
Enumeration date
08/05/2013
Last updated
11/14/2017
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