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ATLANTIC UROLOGY CLINIC LLC NPI 1346645306


NPI Information

NPI: 1346645306
Provider Name: ATLANTIC UROLOGY CLINIC LLC
Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 42D2076549

Address:
199 VILLAGE CENTER BLVD
SUITE 100
MYRTLE BEACH, SC
ZIP 29579
Phone: (843) 236-4330
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ATLANTIC UROLOGY CLINIC LLC is a surgery in Myrtle Beach, SC. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. ATLANTIC UROLOGY CLINIC LLC NPI is 1346645306. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

199 VILLAGE CENTER BLVD
SUITE 100
MYRTLE BEACH, SC
ZIP 29579-589
Phone: (843) 236-4330
Fax: (843) 236-5253

The provider's authorized official is Kim Commins .
The authorized official title is President and has the following contact phone number (239) 931-7277.

The CLIA number assigned to this NPI record is 42D2076549 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/3/2014 and was last updated on 7/29/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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