| NPI | 1790503464 |
|---|---|
| Doing Business As | ATLANTIC GENERAL HEALTH SYSTEM |
| Entity Type | Organization |
| Authorized Contact | JAMES KANUCH Chief Financial Officer 410-641-9602 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |