Individual
DR. ALEKSANDR PEVTSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358
(910) 735-8783
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 218-3500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04931
KY
207P00000X
Emergency Medicine Physician
2018-01812
NC
207P00000X
Emergency Medicine Physician
81899
WI
Other
Enumeration date
05/25/2017
Last updated
08/07/2025
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