Individual
ROMAN KORYAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, APRN
Contact information
Practice address
3816 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-5069
(843) 272-1411
Mailing address
3816 HIGHWAY 17 S, NORTH MYRTLE BEACH, SC 29582-5069
(843) 272-1411
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
25075
SC
Other
Enumeration date
07/02/2021
Last updated
11/29/2021
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