Atlantic Urology Clinic LLC
NPI #1790430429 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1790430429
- Entity Type
- Organization
- Organization Name
- Atlantic Urology Clinic LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- ATLANTIC UROLOGY CLINIC LLC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Feb 22, 2022
- Last Updated
- Feb 22, 2022
Practice Location
- Address
- 823 82ND PKWY
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29572-4607
- Phone
- (843) 347-2450
Authorized Official
- Name
- DEBBIE L BOLIG
- Title
- DIRECTOR OF REVENUE CYCLE
- Phone
- (843) 347-2450
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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