Atlantic Urology Pc

LBN: Atlantic Urology Pc
Atlantic Urology Pc is an health care organization with primary practice located at 1606 Physicians Dr Suite 101, Wilmington NC 28401-7361. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Atlantic Urology Pc can be contacted via phone (910) 362-8765, or through Mynatt, Richard J via phone (910) 362-8765.

Contact Information

Primary practice address
1606 Physicians Dr Suite 101 Wilmington NC 28401-7361
Fax: (910) 362-9123
Website:
Authorized official contact:
Name: Mynatt, Richard J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1366474835
LBN Legal business name Atlantic Urology Pc
DBA Doing business as
Authorized official Mynatt, Richard J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2006
Last updated Sep 5th, 2008 - about 16 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 1366474835 NPPES
North Carolina MEDICAID 89011MU

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