# ATLANTIC GENERAL HOSPITAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATLANTIC GENERAL HOSPITAL CORP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043714306
- **Legal business name:** ATLANTIC GENERAL HOSPITAL CORP
- **Authorized official:** CHERYL NOTTINGHAM (VP FINANCE/CFO)
- **Authorized official phone:** (410) 641-9602

## Contact information

- **Practice address:** 9714 HEALTHWAY DR, BERLIN, MD 21811-1154
- **Practice address phone:** (410) 641-3340
- **Practice address fax:** (410) 641-3341
- **Mailing address:** 10026 OLD OCEAN CITY BLVD, BUILDING \#1, BERLIN, MD 21811-1288
- **Mailing address phone:** (410) 641-9450
- **Mailing address fax:** (410) 641-9515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/21/2018
- **Last updated:** 11/17/2021