| Atlantic Recovery, Llc | |
|
547 Riverside Dr Unit S Salisbury MD 21801-5369 | |
| (410) 860-0100 | |
| Not Available |
| Full Name | Atlantic Recovery, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 547 Riverside Dr Unit S, Salisbury, Maryland |
| Authorized Official Name and Position | Robert Charles Scott (PRESIDENT) |
| Authorized Official Contact | 3022344886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Recovery, Llc 1602 Newport Gap Pike Wilmington DE 19808-6208 Ph: (302) 633-5840 | Atlantic Recovery, Llc 547 Riverside Dr Unit S Salisbury MD 21801-5369 Ph: (410) 860-0100 |
| NPI Number | 1952812794 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 06/16/2020 |
| Medicare PECOS PAC ID | 5092072777 |
|---|---|
| Medicare Enrollment ID | O20171205002719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952812794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nicholas N Borodulia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225004294 PECOS PAC ID: 6608873138 Enrollment ID: I20061026000181 |
| Provider Name | Shannon Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588998207 PECOS PAC ID: 9830318716 Enrollment ID: I20201023002815 |
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