# 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:** 1407674039
- **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:** 37464 LION DRIVE, SUITE 2, SELBYVILLE, DE 19975
- **Practice address phone:** (302) 564-0004
- **Practice address fax:** (302) 564-0005
- **Mailing address:** 9733 HEALTHWAY DR, BERLIN, MD 21811-1155
- **Mailing address phone:** (410) 629-6037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

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