Organization
ATLANTIC IMMEDICARE LLC
Active
Parent organization
ATLANTIC GENERAL HOSPITAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
ATLANTIC GENERAL HOSPITAL CORPORATION
Authorized official
JIM BRANNON CHE (VICE PRES OF PROFESSIONAL SERVICES)
(410) 641-9341
Entity
Organization
Contact information
Practice address
1001 PHILADELPHIA AVE, OCEAN CITY, MD 21842-3735
(410) 641-9450
(410) 641-9515
Mailing address
10026 OLD OCEAN CITY BLVD, BUILDING ONE, BERLIN, MD 21811-1288
(410) 641-9450
(410) 641-9515
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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