Atlantic Urology Clinic LLC
Organization Active NPI Non-Pharmacy Dispensing Site · Conway, SC
NPI 1962157693 · NPPES record last updated Feb 22, 2022
Key facts
- NPI
- 1962157693
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- ATLANTIC UROLOGY CLINIC LLC
- Practice address
- 135 Professional Park Dr
Conway, SC 29526-9261 - Phone
- (843) 347-2450
- NPI assigned
- Feb 22, 2022
- Organization subpart
- Yes
- Parent organization (as reported)
- ATLANTIC UROLOGY CLINIC LLC
Authorized official
- Name
- Debbie L Bolig
- Title
- Director of Revenue Cycle
- Phone
- (843) 347-2450
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Atlantic Urology Clinic
- Part of
- Atlantic Urology Clinic
Locations
135 Professional Park Dr
Conway, SC 29526
Phone (843) 347-8765
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
Addresses
Primary practice location
135 Professional Park Dr
Conway, SC 29526-9261
Mailing address
611 Burroughs and Chapin Blvd Ste 105
Myrtle Beach, SC 29577-3200
Phone (843) 347-2450
Other names
- IOD-CUC
Other providers in Conway, SC
- Emily Goad Atkinson
- Atlantic Coast Pain Specialists, Inc
- Atlantic Eye Associates
- Atlantic Healthcare Group Inc
- Atlantic Physical Therapy & Rehabilitation, Inc.
- Auc Urologists LLC
- Audiology Services Company USA, LLC
- Sarah Bach
- Amorette S Back
- Tom Badgett
All providers in Conway, SC · Non-Pharmacy Dispensing Site in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.