Individual
GARY A VUKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7900 N KINGS HWY, MYRTLE BEACH, SC 29572-3055
(843) 449-3381
(843) 839-0275
Mailing address
7900 N KINGS HWY, MYRTLE BEACH, SC 29572-3055
(843) 449-3381
(843) 839-0275
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12307
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123075
—
SC
Enumeration date
10/25/2005
Last updated
01/22/2021
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