# 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:** 1972321511
- **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:** 10614 RACETRACK RD UNIT 5, BERLIN, MD 21811-3383
- **Practice address phone:** (410) 208-9761
- **Mailing address:** 9733 HEALTHWAY DR, BERLIN, MD 21811-1156
- **Mailing address phone:** (410) 641-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |

## Other

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