OrganizationActive
Atlantic Urology PC
NPI 1073770939 · Urology Physician · Southport, NC
Provider details
- NPI number
- 1073770939
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Mynatt, President(910) 362-8765
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4222 Long Beach Rd Se
Southport, NC 28461-8627
Phone: (910) 362-8765
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 600085
Raleigh, NC 27675-6085
Registry dates
- Enumerated
- 2008-05-19
- Last updated
- 2009-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.