Atlantic General Hospital Corporation

NPI #1871582171 in Berlin, Maryland

Provider Information

NPI Number: 1871582171
Entity Type: Organization
Organization Name: Atlantic General Hospital Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: ATLANTIC GENERAL HOSPITAL CORPORATION
Primary Specialty: Family Medicine
Enumeration Date: Oct 19, 2005
Last Updated: May 30, 2025

Practice Location

Address: 10026 OLD OCEAN CITY BLVD STE 1
City: Berlin
State: Maryland
ZIP Code: 21811-1288
Phone: (410) 641-9450

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X
Internal Medicine - Hematology & Oncology — Hematology & Oncology	207RH0003X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Pediatrics	208000000X
Obstetrics & Gynecology	207V00000X
Surgery	208600000X
Anesthesiology	207L00000X
Hospitalist	208M00000X
Clinic/Center - Oncology — Oncology	261QX0200X
Nurse Practitioner	363L00000X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Radiology — Radiology	261QR0200X
Clinic/Center - Radiology, Mammography — Radiology, Mammography	261QR0206X
Clinic/Center - Radiology, Mobile — Radiology, Mobile	261QR0208X
Family Medicine	207Q00000X	Primary

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