Organization · Type 2 NPI

Atlantic Urology Clinic LLC

Non-Pharmacy Dispensing Site · Conway, SC

NPI number 1962157693 Active

Practice location

135 Professional Park Dr
Conway, SC 29526-9261

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: 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.)

7 other providers at this address

About NPI 1962157693

Atlantic Urology Clinic LLC's National Provider Identifier is 1962157693, issued on Feb 22, 2022. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Conway, SC. The record was last updated on Feb 22, 2022.