Provider Demographics
NPI:1750367207
Name:SPRINKLE, RALPH S (DPM)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:S
Last Name:SPRINKLE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10593 OCEAN HWY
Mailing Address - Street 2:UNIT B
Mailing Address - City:PAWLEYS ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29585-8543
Mailing Address - Country:US
Mailing Address - Phone:843-235-0002
Mailing Address - Fax:843-235-0014
Practice Address - Street 1:10593 OCEAN HWY
Practice Address - Street 2:UNIT B
Practice Address - City:PAWLEYS ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29585-8543
Practice Address - Country:US
Practice Address - Phone:843-235-0002
Practice Address - Fax:843-235-0014
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-16
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC0105213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP9978Medicaid
SCT81605Medicare UPIN
SCT81605Medicare UPIN