Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JOHN EVANS STAVRAKOS, MD
ActiveDR. JOHN EVANS STAVRAKOS, MD is a Physical Medicine & Rehabilitation healthcare provider located in WEST COLUMBIA, South Carolina. NPI 1063426724 is currently active in the NPPES registry. Verify at CMS.
Physical Medicine & Rehabilitation · WEST COLUMBIA, SC
Registration Details
- NPI Number
- 1063426724
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 28, 2006 (19.904182375376 yrs)
- Last Updated
- Jul 13, 2016
- Licenses
-
39963 (SC)39963 (SC)
Practice Information
- Address
-
103 SUM MOR DRWEST COLUMBIA, SC, 291694828Browse SC providers · Browse ZIP 29169
- Phone
- 8032449212
- Primary Specialty
-
Physical Medicine & Rehabilitation
208100000X
- Additional Specialty
- Sports Medicine (PM&R)
Other Physical Medicine & Rehabilitation Providers in WEST COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| WILLIAM RANDAL WESTERKAM | MD | 1376597070 |
| MR. KENNETH DIXON ACKER JR. | — | 1508961020 |
| DR. TIFFANY NICOLE HOWARD | MD | 1003007055 |
| JACQUELYN F VAN DAM | MD | 1477703940 |
| TAYVIONNA ETHEREDGE | — | 1316633753 |
| MAEGHAN EDGE | PTA | 1437930237 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.