Organization
ATLANTIC UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD MYNATT MD (OWNER MD)
(910) 362-8765
Entity
Organization
Contact information
Practice address
7655 MARKET ST, SUITE A, WILMINGTON, NC 28411-9458
(910) 362-8765
Mailing address
PO BOX 30727, DEPT 388, CHARLOTTE, NC 28230-0727
(910) 362-8765
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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