ATLANTIC UROLOGY CLINICS LLC - NPI 1447293790

Q: What is Atlantic Urology Clinics LLC's NPI number?

The NPI number for Atlantic Urology Clinics LLC is 1447293790. It was assigned to this organization in the NPPES registry on June 14, 2006.

Q: What is Atlantic Urology Clinics LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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About Atlantic Urology Clinics Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ATLANTIC UROLOGY CLINICS LLC (NPI 1447293790) is a healthcare organization registered as an urology in Little River, South Carolina and active in the NPI registry since June 2006. The organization maintains a secondary practice location in Conway and lists Shaden Marzouk, Us President, as its authorized official.

NPPES Registry Identity

NPI1447293790

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameATLANTIC UROLOGY CLINICS LLC

Location Address3600 SEA MOUNTAIN HWY STE BLittle River, SC 29566-8161

Mailing Address1419 Se 8th Ter Ste 200Cape Coral, FL 33990-3213 · (239) 931-7342

Phone(843) 399-9696

Fax(843) 399-9596

Organization SubpartNo

Authorized OfficialShaden MarzoukUs President · (239) 931-7254

Enumeration DateJune 14, 2006

Last NPPES UpdateSeptember 25, 20235 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2023

✔ NPI 1447293790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

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.

3600 SEA MOUNTAIN HWY STE B, Little River, SC 29566

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Secondary Practice Location 1

Location 1135 Professional Park DrConway, SC 29526-9261 · Phone (843) 347-8765 · Fax (843) 347-8765

Other Identifiers 1

MedicaidGP4522SC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Molina Healthcare.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATLANTIC UROLOGY CLINIC LLC

Non-Pharmacy Dispensing Site