NPI 1063426724

John Evans Stavrakos, MD

Practitioner Physical Medicine & Rehabilitation Physician West Columbia, SC

Practice location

Address: 103 Sum Mor Dr, West Columbia, SC 29169-4828
Phone: (803) 244-9212
Mailing address: PO Box 1320, Lexington, SC 29071-1320

Registered specialties (2)

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence 39963 (SC)

Other Physical Medicine & Rehabilitation providers in South Carolina →

Sports Medicine (Physical Medicine & Rehabilitation) Physician

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 39963 (SC)

Registry record

NPI: 1063426724
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jul 2006
Record last updated: 13 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.