person
Alexander Petkovsek
Family Nurse Practitioner in Myrtle Beach, South Carolina
NPI 1013455302

Alexander Petkovsek is a Family Nurse Practitioner based in Myrtle Beach, SC and is specialized in Family. Alexander Petkovsek practices in Myrtle Beach, SC. The NPI Number for Alexander Petkovsek is 1013455302 and holds a License No. 20710 (South Carolina).

The current practice location address for Alexander Petkovsek is 920 Doug White Dr Ste 210, Myrtle Beach, SC and can be reached out via phone at 843-497-6348 and via fax at 843-497-6351. You can also correspond with Alexander Petkovsek through the mailing address at 920 DOUG WHITE DR STE 210, MYRTLE BEACH, SC - 29572-4181 (mailing address contact number: 843-497-6348).

Location: 920 Doug White Dr Ste 210, Myrtle Beach, SC, 29572-4181
person
Provider Profile Details
NPI Number
1013455302
Provider Name
Alexander Petkovsek
Credential
Provider Entity Type
Individual
Gender
Male
Address
920 Doug White Dr Ste 210, Myrtle Beach, SC, 29572-4181
Phone Number
843-497-6348
Fax Number
843-497-6351
Provider Enumeration Date
02/07/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12 05 SC
institution
Provider Business Practice Location Address Details
Address
920 Doug White Dr Ste 210
City
State
Zip
29572-4181
Phone Number
843-497-6348
Fax Number
843-497-6351
person
Provider Business Mailing Address Details
Address
920 Doug White Dr Ste 210
City
State
Zip
29572-4181
Phone Number
843-497-6348
Fax Number
843-497-6351
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20710 (South Carolina)
Definition
Definition to come...
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