Atlantic Urology PC
NPI #1073770939 in Southport, North Carolina
Provider Information
- NPI Number
- 1073770939
- Entity Type
- Organization
- Organization Name
- Atlantic Urology PC
- Primary Specialty
- Urology
- Enumeration Date
- May 19, 2008
- Last Updated
- Mar 2, 2009
Practice Location
- Address
- 4222 LONG BEACH RD SE
- City
- Southport
- State
- North Carolina
- ZIP Code
- 28461-8627
- Phone
- (910) 362-8765
Authorized Official
- Name
- RICHARD J MYNATT, MD
- Title
- PRESIDENT
- Phone
- (910) 362-8765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Urology |
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