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Atlantic Urology PC — NPI 1376649830, Supply, NC | NPI Central

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OrganizationActive

Atlantic Urology PC

NPI 1376649830 · Urology Physician · Supply, NC

Provider details

NPI number: 1376649830
Entity type: Organization
Primary specialty: Urology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Richard Mynatt, Owner M.D(910) 362-8765

Specialties & taxonomies

Urology PhysicianPrimary208800000X
Allopathic & Osteopathic Physicians

Practice location

20 Medical Campus Dr

Suite 202

Supply, NC 28462-4096

Phone: (910) 362-8765

Approximate (ZIP-level) locationGet directions

More NC providers

Mailing address

Po Box 30727

Charlotte, NC 28230-0727

Registry dates

Enumerated: 2006-09-15
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.