| Doctor Name: | DR. ROY WALTER. SPRINKLE |
| NPI Number: | 1720037070 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.M. |
| License Number: | 99-0141 |
| Business Practice Address: | 1103 Glenns Bay Rd Surfside Beach, SC - 295754722 |
| Business Phone Number: | 8432288989 |
| Business Fax Number: | 8432382787 |
| Mailing Address: | P.o.box 15908, SURFSIDE BEACH |
| State: | SC |
| Postal Code: | 295875908 |
| Phone Number: | 8432388989 |
| Fax Number: | 8432382787 |
| NPI Enumeration Date: | 05/06/2006 |
| NPI Last Update Date: | 02/01/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 99-0141 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |