NPI 1013455302

Alexander Petkovsek

Practitioner Family Nurse Practitioner Myrtle Beach, SC

Practice location

Address: 920 Doug White Dr STE 210, Myrtle Beach, SC 29572-4181
Phone: (843) 497-6348
Fax: (843) 497-6351

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 20710 (SC)

Other Nurse Practitioner providers in South Carolina →

Registry record

NPI: 1013455302
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2017
Record last updated: 27 Jan 2022

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.