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NPI Code Detail

MEDICARE: GARY A VUKOV MD

MEDICARE:   GARY A VUKOV  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RG0100XGastroenterology Physician12307SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013907690
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARY A VUKOV MD
Provider Business Mailing Address
First Line : 7900 N KINGS HWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-3055
Country : US
Telephone Number : 843-449-3381
Fax Number : 843-839-0275
Provider Business Practice Location Address
First Line : 7900 N KINGS HWY
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29572-3055
Country : US
Telephone Number : 843-449-3381
Fax Number : 843-839-0275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 01/22/2021

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Directions to “ GARY A VUKOV MD” Practice Location

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