NPI 1790430429
Atlantic Urology Clinic LLC
Practice location
- Address
- 823 82nd Pkwy, Myrtle Beach, SC 29572-4607
- Phone
- (843) 347-2450
- Mailing address
- 611 Burroughs and Chapin Blvd STE 105, Myrtle Beach, SC 29577-3200
Authorised official
- Name
- Debbie L Bolig
- Title
- Director of Revenue Cycle
- Phone
- (843) 347-2450
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1790430429
- Entity type
- Organization
- NPI issued
- 22 Feb 2022
- Record last updated
- 22 Feb 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.