Atlantic Lithotripsy, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

ATLANTIC LITHOTRIPSY, LLC

Practice address

611 Burroughs and Chapin Blvd Ste 105
Myrtle Beach, SC 29577-3200

Phone

(843) 347-2450

NPI assigned

Feb 16, 2023

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debbie Bolig

Title

Director of Revenue Cycle

Phone

(843) 222-9581

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1356049746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 BURROUGHS AND CHAPIN BLVD STE 105",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773200",
            "telephone_number": "843-347-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 BURROUGHS AND CHAPIN BLVD STE 105",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773200",
            "telephone_number": "843-347-2450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC LITHOTRIPSY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "BOLIG",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "843-222-9581"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Elizabeth Astrab, DO
• Marwan Al Aswad, M.D.
• Ramy Ataa
• Atlantic Coast Anesthesia Services P.C.
• Atlantic Coast Chiropractic LLC
• Atlantic Physical Therapy & Rehabilitation, Inc
• Atlantic Physical Therapy & Rehabilitation, Inc.
• Atlantic Spine,LLC
• Atlantic Urology Clinic LLC
• Atlantic Urology Clinic LLC (GenesisCare Pharmacy of South Carolina)

• Medical Specialty Clinic/Center in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Medical Specialty Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.