Organization
ATLANTIC UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J MYNATT MD (PRESIDENT)
(910) 362-8765
Entity
Organization
Contact information
Practice address
4222 LONG BEACH RD SE, SOUTHPORT, NC 28461-8627
(910) 362-8765
Mailing address
PO BOX 600085, RALEIGH, NC 27675-6085
(910) 362-8765
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
05/19/2008
Last updated
03/02/2009
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