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ATLANTIC UROLOGY CLINIC LLC 1790430429

Overview
Name: ATLANTIC UROLOGY CLINIC LLC Specialty: Non-Pharmacy Dispensing Site Type of Practice: Organization Provider/Org: ATLANTIC UROLOGY CLINIC LLC Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Suppliers Classification: Non-Pharmacy Dispensing Site Specialization: . Definition of Specialty: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: ATLANTIC UROLOGY CLINIC LLC,823 82ND PKWY,MYRTLE BEACH,SC,295724607,US Mailing Address: ATLANTIC UROLOGY CLINIC LLC,611 BURROUGHS AND CHAPIN BLVD STE 105,MYRTLE BEACH,SC,295773200,US
Contact #
Practice location phone #: 8433472450 Practice location fax #: Mailing address Phone #: 8433472450 Mailing Address fax #: Authorized official Name/Telephone #:DEBBIE, L, BOLIG, DIRECTOR OF REVENUE CYCLE 8433472450
Misc
Date NPI was obtained: 02/22/2022 Last data data was updated: 02/22/2022 Insurances:

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