Individual
ERIC JOHN PROKOPOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
598 GEIGER BOULEVARD, BEAUFORT, SC 29904
(770) 362-8657
Mailing address
NAVAL MEDICAL CENTER SAN DIEGO 38400 BOB WILSON DR, SAN DIEGO, CA 92134-5000
(770) 362-8657
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
02005745A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
03/28/2018
Last updated
03/25/2022
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