Individual provider · Type 1 NPI

Alexander Petkovsek

Family Nurse Practitioner · Myrtle Beach, SC

NPI number 1013455302 Active

Practice location

920 Doug White Dr Ste 210
Myrtle Beach, SC 29572-4181

Fax (843) 497-6351

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X20710 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1013455302

Alexander Petkovsek's National Provider Identifier is 1013455302, issued on Feb 7, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Myrtle Beach, SC. The record was last updated on Jan 27, 2022.