Organization · Type 2 NPI

Atlantic General Hospital Corporation

Family Medicine Physician · Selbyville, DE

NPI number 1407674039 Active

Practice location

37464 Lion Drive, Suite 2
Selbyville, DE 19975

Call (302) 564-0004 Map

Fax (302) 564-0005

Mailing address

9733 Healthway Dr
Berlin, MD 21811-1155

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4 other providers at this address

Other family medicine physician providers in Selbyville

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NPI record

NPI: 1407674039
Entity type: Organization (Type 2)
Issued: Oct 2, 2024
Last updated: May 30, 2025
Status: Active
Subpart: Yes of Atlantic General Hospital Corporation

Other names

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Atlantic General Health System · doing business as
Atlantic General Health System · doing business as

Authorized official

Stephanie Gary
SVP, Finance/cfo of Tidalhealth
(410) 912-6059

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407674039

Atlantic General Hospital Corporation's National Provider Identifier is 1407674039, issued on Oct 2, 2024. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Selbyville, DE. The record was last updated on May 30, 2025.