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ATLANTIC UROLOGY CLINIC LLC
NPI 1790430429
Non-Pharmacy Dispensing Site in Myrtle Beach, SC

Active since February 22, 2022
823 82ND PKWY, MYRTLE BEACH, SC 29572(843) 347-2450 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Atlantic Urology Clinic Llc NPPES

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

ATLANTIC UROLOGY CLINIC LLC (NPI 1790430429) is a healthcare organization registered as a non-pharmacy dispensing site in Myrtle Beach, South Carolina and active in the NPI registry since February 2022. The organization lists Debbie L Bolig, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1790430429
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameATLANTIC UROLOGY CLINIC LLC
Location Address823 82ND PKWYMyrtle Beach, SC 29572-4607
Mailing Address611 Burroughs And Chapin Blvd Ste 105Myrtle Beach, SC 29577-3200 · (843) 347-2450
Phone(843) 347-2450
Organization SubpartYes
Authorized OfficialDebbie L BoligDirector Of Revenue Cycle · (843) 347-2450
Enumeration DateFebruary 22, 2022
NPPES CertifiedFebruary 22, 2022
✔ NPI 1790430429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
Definition
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.)
823 82ND PKWY, Myrtle Beach, SC 29572
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Other Names 1

Other NameIod-gsu

Other Providers at the Same Location NPPES 20

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

NATALIE CORRINE BADOLATO
Nurse Practitioner (Family)
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 347-2450
DR. ABHISHEK SRIVASTAVA M.D.
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
KAYLA SHANIECE GERALD PA-C
Physician Assistant
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
BRIAN J ROBERTS MD
Non-Pharmacy Dispensing Site
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
JULIE ANN ELLISON SCHMITZ NP-C
Nurse Practitioner (Family)
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
DR. NEAL SHORE DR
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
DR. KENNETH E KRZYZANIAK MD
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010
JACQUELYN GREINER BOOHER D.O.
Urology
823 82ND PKWY
MYRTLE BEACH, SC 29572
Horry County (843) 449-1010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Atlantic Urology Clinic LLC's NPI number?

The NPI number for Atlantic Urology Clinic LLC is 1790430429. It was assigned to this organization in the NPPES registry on February 22, 2022. The provider is also known as Iod-Gsu.

Where is Atlantic Urology Clinic LLC located?

Atlantic Urology Clinic LLC is located at 823 82nd Pkwy, Myrtle Beach, SC 29572. The listed phone number is (843) 347-2450.

What is Atlantic Urology Clinic LLC's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Atlantic Urology Clinic LLC was last updated on February 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.