Atlantic Urology Clinics Llc

LBN: Atlantic Urology Clinics Llc
Atlantic Urology Clinics Llc is an health care organization with primary practice located at 3600 Sea Mountain Hwy Ste B , Little River SC 29566-8161. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Atlantic Urology Clinics Llc can be contacted via phone (843) 399-9696, or through Marzouk, Shaden via phone (239) 931-7254.

Contact Information

Primary practice address
3600 Sea Mountain Hwy Ste B Little River SC 29566-8161
Phone: (843) 399-9696
Fax: (843) 399-9596
Website:
Map and Directions
Authorized official contact:
Name: Marzouk, Shaden Doctor of Medicine (MD)
Phone: (239) 931-7254

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1447293790
LBN Legal business name Atlantic Urology Clinics Llc
DBA Doing business as
Authorized official Marzouk, Shaden Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Sep 25th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447293790 NPPES
South Carolina MEDICAID GP4522

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