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Petkovsek, Alexander James

Debarred entity
TypeLegal entity[sources]
NamePetkovsek, Alexander James[sources]
Legal formnot available[sources]
CountryUnited States[sources]
NPI1013455302[sources]
SectorInd-Lic HC Serv Prov - Nurse Practitioner[sources]
Statusnot available[sources]
AddressMyrtle Beach, SC 29572[sources]
Last changeLast processedFirst seen

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Data sources

US South Carolina Excluded Providers1,268

Medical providers excluded from South Carolina's Medicaid program.

United States of America · SCDHHS


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