Atlantic General Hospital Corporation

NPI #1043038730 in Berlin, Maryland

Provider Information

NPI Number: 1043038730
Entity Type: Organization
Organization Name: Atlantic General Hospital Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: ATLANTIC GENERAL HOSPITAL CORPORATION
Primary Specialty: Nurse Practitioner
Enumeration Date: Oct 1, 2024
Last Updated: May 30, 2025

Practice Location

Address: 10231 OLD OCEAN CITY BLVD STE 104
City: Berlin
State: Maryland
ZIP Code: 21811-3567
Phone: (410) 629-6863

Authorized Official

Name: STEPHANIE GARY
Title: SVP, FINANCE/CFO OF TIDALHEALTH
Phone: (410) 912-6059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse - Wound Care — Wound Care	163WW0000X
Nurse Practitioner - Primary Care — Primary Care	363LP2300X
Nurse Practitioner	363L00000X	Primary

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