Atlantic Urology Clinic LLC
NPI #1962157693 in Conway, South Carolina
Provider Information
- NPI Number
- 1962157693
- 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
- 135 PROFESSIONAL PARK DR
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-9261
- 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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