OrganizationActive
Atlantic Urology Clinic LLC
NPI 1043965775 · Non-Pharmacy Dispensing Site · Little River, SC
Provider details
- NPI number
- 1043965775
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Atlantic Urology Clinic.llc
- Organization subpart
- Yes
- Authorized official
- Debbie Bolig, Director of Revenue Cycle(843) 347-2450
Specialties & taxonomies
Suppliers
Practice location
3600 Sea Mountain Hwy Ste B
Little River, SC 29566-8161
Phone: (843) 347-2450
Approximate (ZIP-level) locationGet directions
Mailing address
611 Burroughs and Chapin Blvd Ste 105
Myrtle Beach, SC 29577-3200
Other names (DBA / former)
- Other name
- Iod-Apuc
Registry dates
- Enumerated
- 2022-02-22
- Last updated
- 2022-02-22
- Certified
- 2022-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.