ATLANTIC UROLOGY CLINIC LLC
NPI 1962157693
Non-Pharmacy Dispensing Site in Conway, SC

Active since February 22, 2022
135 PROFESSIONAL PARK DR, CONWAY, SC 29526(843) 347-2450 Get Directions Write a Review

NPPES record last updated: February 22, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Non-Pharmacy Dispensing Site

About ATLANTIC UROLOGY CLINIC LLC

This page provides the complete NPI Profile along with additional information for Atlantic Urology Clinic Llc, a provider established in Conway, South Carolina operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1962157693 assigned on February 2022. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Debbie L Bolig (Director Of Revenue Cycle)

NPI
1962157693 Verify this NPI
Provider Name
ATLANTIC UROLOGY CLINIC LLC
Entity Type
Organization
Location Address
135 PROFESSIONAL PARK DR CONWAY, SC 29526
Location Phone
(843) 347-2450
Mailing Address
611 BURROUGHS AND CHAPIN BLVD STE 105 MYRTLE BEACH, SC 29577
Mailing Phone
(843) 347-2450
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-22-2022
Last Update Date
02-22-2022
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
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.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DEBBIE L BOLIG

Authorized Official Title
DIRECTOR OF REVENUE CYCLE
Authorized Official Phone
(843) 347-2450

Reviews for ATLANTIC UROLOGY CLINIC LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Urology
135 PROFESSIONAL PARK DR
CONWAY, SC 29526
Urology
135 PROFESSIONAL PARK DR
CONWAY, SC 29526
Physician Assistant
135 PROFESSIONAL PARK DR
CONWAY, SC 29526
Nurse Practitioner
135 PROFESSIONAL PARK DR
CONWAY, SC 29526
Urology
135 PROFESSIONAL PARK DR
CONWAY, SC 29526
Urology
135 PROFESSIONAL PARK DR
CONWAY, SC 29526

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962157693, enumerated as an "organization" on February 22, 2022.

The provider is located at 135 PROFESSIONAL PARK DR CONWAY, SC 29526 and the phone number is (843) 347-2450.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.