# ATLANTIC GENERAL HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ATLANTIC GENERAL HOSPITAL CORPORATION
- **Other names:** Atlantic General Health System
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306664933
- **Legal business name:** ATLANTIC GENERAL HOSPITAL CORPORATION
- **Authorized official:** STEPHANIE GARY (SVP, FINANCE/CFO OF TIDALHEALTH)
- **Authorized official phone:** (410) 912-6059

## Contact information

- **Practice address:** 314 FRANKLIN AVE STE 201, BERLIN, MD 21811-1237
- **Practice address phone:** (410) 629-0366
- **Mailing address:** 9733 HEALTHWAY DR, BERLIN, MD 21811-1156
- **Mailing address phone:** (410) 641-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | NULL | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 10/02/2024
- **Last updated:** 05/30/2025