Organization
ATLANTIC UROLOGY CLINIC LLC
Active
Other names
GenesisCare Pharmacy of South Carolina
Organization subpart
No
Provider details
NPI number
Authorized official
SHADEN MARZOUK MD (PRESIDENT)
(239) 922-5961
Entity
Organization
Contact information
Practice address
823 82ND PKWY UNIT C, MYRTLE BEACH, SC 29572-4607
(843) 839-6624
(843) 839-6225
Mailing address
823 82ND PKWY UNIT C, MYRTLE BEACH, SC 29572-4607
(843) 839-6624
(843) 839-6225
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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