ATLANTIC UROLOGY CLINICS LLC NPI 1447293790

NPI Information

ATLANTIC UROLOGY CLINICS LLC is an urology in Little River, SC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. ATLANTIC UROLOGY CLINICS LLC NPI is 1447293790. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3600 SEA MOUNTAIN HWY STE B
LITTLE RIVER, SC
ZIP 29566-161
Phone: (843) 399-9696
Fax: (843) 399-9596

The provider's authorized official is Shaden Marzouk .
The authorized official title is Us President and has the following contact phone number (239) 931-7254.

The CLIA number assigned to this NPI record is 42D2238536 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 9/25/2023.

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:

Other Identifiers

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