Individual
NICHOLAS MANKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3822 MAYFAIR ST, MYRTLE BEACH, SC 29577-0912
(843) 449-6449
(843) 449-1069
Mailing address
3822 MAYFAIR ST, MYRTLE BEACH, SC 29577-0912
(843) 449-6449
(843) 449-1069
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD96557
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/21/2020
Last updated
07/16/2026
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