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
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | None 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
- Auc Urologists LLCUrology Physician Conway, SC NPI 1780454017
- Catherine M. Bartynski, AGPCNP-CGerontology Nurse Practitioner Conway, SC NPI 1114354560
- Debra K. Joyner, PA CPhysician Assistant Conway, SC NPI 1457327918
- Rebecca G. Crawford, NPNurse Practitioner Conway, SC NPI 1801212113
- Roberto Fulvio Ferraro, MDUrology Physician Conway, SC NPI 1396788733
- Ruben Vasquez Jr., MDUrology Physician Conway, SC NPI 1841819059
- Timothy Joseph Quillen, MDUrology Physician Conway, SC NPI 1619922879
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.