Stavrakos, John Evans

Stavrakos, John Evans is an individual health care provider with primary practice located at 103 Sum Mor Dr , West Columbia SC 29169-4828. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Stavrakos, John Evans can be contacted via phone (803) 244-9212.

Contact Information

Primary practice address
103 Sum Mor Dr West Columbia SC 29169-4828
Phone: (803) 244-9212
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 39963 South Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 39963 South Carolina

Profile Details

NPI number 1063426724
LBN Legal business name Stavrakos, John Evans
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 13th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers