IndividualActive
Alexander Petkovsek
NPI 1013455302 · Family Nurse Practitioner · Myrtle Beach, SC
Provider details
- NPI number
- 1013455302
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 20710 (SC)
Practice location
920 Doug White Dr Ste 210
Myrtle Beach, SC 29572-4181
Phone: (843) 497-6348
Fax: (843) 497-6351
Mailing address
920 Doug White Dr Ste 210
Myrtle Beach, SC 29572-4181
Registry dates
- Enumerated
- 2017-02-07
- Last updated
- 2022-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.