| Atlantic General Hospital Corporation | |
|
37464 Lion Drive Suite 2 Selbyville DE 19975 | |
| (302) 564-0004 | |
| (302) 564-0005 |
| Full Name | Atlantic General Hospital Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 37464 Lion Drive, Selbyville, Delaware |
| Authorized Official Name and Position | James Kanuch (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4106419602 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic General Hospital Corporation 9733 Healthway Dr Berlin MD 21811-1155 Ph: (410) 629-6037 | Atlantic General Hospital Corporation 37464 Lion Drive Suite 2 Selbyville DE 19975 Ph: (302) 564-0004 |
| NPI Number | 1407674039 |
|---|---|
| Provider Enumeration Date | 10/02/2024 |
| Last Update Date | 10/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407674039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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