Atlantic Urology Pc

NPI 1073770939 - Urology - 208800000X

NPI Details
NPI 1073770939
Enumeration Date 05/19/2008
Last Updated 03/02/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RICHARD J RICHARD
Position PRESIDENT
Phone (910) 362-8765
Fax
Practice Location
4222 LONG BEACH RD SE
SOUTHPORT NC, 28461-8627, US
Phone (910) 362-8765
Fax
Business Location
PO BOX 600085
RALEIGH NC, 27675-6085, US
Phone (910) 362-8765
Fax
Toxanomy
Taxonomy Code 208800000X
License State
License Number
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According to our database, Atlantic Urology Pc NPI is 1073770939, taxonomy code is 208800000X Atlantic Urology Pc physically located at 4222 Long Beach Rd Se, Southport NC, 28461-8627. NPI Number 1033115704 has the healthcare provider type.

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1073770939 NPI number is provided on an as is basis without warranty of any kind. 1073770939 is maintained by the National Plan & Provider Enumeration System. The contents of Atlantic Urology Pc are for informational purposes only.