Organization
ATLANTIC UROLOGY CLINIC LLC
Active
Parent organization
ATLANTIC UROLOGY CLINIC.LLC
Other names
IOD-APUC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC UROLOGY CLINIC.LLC
Authorized official
DEBBIE L BOLIG (DIRECTOR OF REVENUE CYCLE)
(843) 347-2450
Entity
Organization
Contact information
Practice address
3600 SEA MOUNTAIN HWY STE B, LITTLE RIVER, SC 29566-8161
(843) 347-2450
Mailing address
611 BURROUGHS AND CHAPIN BLVD STE 105, MYRTLE BEACH, SC 29577-3200
(843) 222-9581
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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