Atlantic General Hospital Corporation

NPI #1063230605 in Berlin, Maryland

Provider Information

NPI Number: 1063230605
Entity Type: Organization
Organization Name: Atlantic General Hospital Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: ATLANTIC GENERAL HOSPITAL CORPORATION
Primary Specialty: Pediatrics
Enumeration Date: Oct 2, 2024
Last Updated: May 30, 2025

Practice Location

Address: 10614 RACETRACK RD UNIT 1
City: Berlin
State: Maryland
ZIP Code: 21811-3383
Phone: (443) 728-1004

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Pediatrics	208000000X	Primary

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