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
JAMES KANUCH JR. (CHIEF FINANCIAL OFFICER)
(410) 641-9602
Entity
Organization
Contact information
Practice address
38394 DUPONT BLVD STE H, SELBYVILLE, DE 19975-3049
(302) 524-5007
(302) 524-5011
Mailing address
9733 HEALTHWAY DR, BERLIN, MD 21811-1156
(410) 629-6037
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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