# ATLANTIC LITHOTRIPSY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356049746
- **Authorized official:** DEBBIE BOLIG (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (843) 222-9581

## Contact information

- **Practice address:** 611 BURROUGHS AND CHAPIN BLVD STE 105, MYRTLE BEACH, SC 29577-3200
- **Practice address phone:** (843) 347-2450
- **Mailing address:** 611 BURROUGHS AND CHAPIN BLVD STE 105, MYRTLE BEACH, SC 29577-3200
- **Mailing address phone:** (843) 347-2450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2023
- **Last updated:** 02/16/2023