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
10026 OLD OCEAN CITY BLVD STE 1, BERLIN, MD 21811-1288
(410) 641-9450
Mailing address
9733 HEALTHWAY DR # 41, BERLIN, MD 21811-1155
(410) 629-6037
(410) 629-1194
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
MD
207Q00000X
Family Medicine Physician
Primary
—
MD
207R00000X
Internal Medicine Physician
—
MD
207RH0003X
Hematology & Oncology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
MD
207V00000X
Obstetrics & Gynecology Physician
—
MD
208000000X
Pediatrics Physician
—
MD
208600000X
Surgery Physician
—
MD
208M00000X
Hospitalist Physician
—
MD
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
261QX0200X
Oncology Clinic/Center
—
MD
363L00000X
Nurse Practitioner
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250610237
—
DE
05
—
514300400
—
MD
01
—
E707
CAREFIRST MD GROUP
MD
Enumeration date
10/19/2005
Last updated
05/30/2025
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