Individual
NIKOLAY KORNEYCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S CONGRESS ST, YORK, SC 29745-1836
(803) 684-0035
Mailing address
1780 COMPTON BRIDGE RD, INMAN, SC 29349-8482
(864) 804-4510
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
337700
SC
Other
Enumeration date
03/27/2015
Last updated
03/27/2015
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