Organization
ATLANTIC GENERAL HOSPITAL CORPORATION
Active
Parent organization
ATLANTIC GENERAL HOSPITAL CORPORATION
Other names
Atlantic General Health System
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC GENERAL HOSPITAL CORPORATION
Authorized official
STEPHANIE GARY (SVP, FINANCE/CFO OF TIDALHEALTH)
(410) 912-6059
Entity
Organization
Contact information
Practice address
10231 OLD OCEAN CITY BLVD STE 104, BERLIN, MD 21811-3567
(410) 629-6863
Mailing address
9733 HEALTHWAY DR, BERLIN, MD 21811-1156
(410) 641-1100
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
363L00000X
Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/01/2024
Last updated
05/30/2025
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