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
10614 RACETRACK RD UNIT 5, BERLIN, MD 21811-3383
(410) 208-9761
Mailing address
9733 HEALTHWAY DR, BERLIN, MD 21811-1156
(410) 641-1100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
10/02/2024
Last updated
05/30/2025
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