Individual
MR. STEFAN SULTANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MAINTERN
Contact information
Practice address
901 N KINGS HWY, MYRTLE BEACH, SC 29577-3722
(843) 448-4820
(843) 448-9875
Mailing address
901 N KINGS HWY, MYRTLE BEACH, SC 29577-3722
(843) 448-4820
(843) 448-9875
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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