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
9714 HEALTHWAY DR, BERLIN, MD 21811-1154
(410) 641-4765
Mailing address
9733 HEALTHWAY DR, BERLIN, MD 21811-1156
(410) 629-6037
(410) 629-1194
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
514300411
—
MD
Enumeration date
09/30/2024
Last updated
05/30/2025
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