Koryakin, Roman

Koryakin, Roman is an individual health care provider with primary practice located at 3816 Highway 17 S , North Myrtle Beach SC 29582-5069. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Koryakin, Roman can be contacted via phone (843) 272-1411.

Contact Information

Primary practice address
3816 Highway 17 S North Myrtle Beach SC 29582-5069
Phone: (843) 272-1411
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 25075 South Carolina

Profile Details

NPI number 1033780952
LBN Legal business name Koryakin, Roman
Credentials FNP, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2021
Last updated Nov 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers