Individual
NICHOLAS YURKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-5001
(910) 907-6687
Mailing address
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310-0001
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01084023A
IN
2085R0202X
Diagnostic Radiology Physician
MD2024-1091
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VAD000
MEDICARE UPIN
—
Enumeration date
05/30/2018
Last updated
08/06/2025
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