| Atlantic Recovery, LLC | |
|
1323 Mount Hermon Rd Ste 3a Salisbury MD 21804-5258 | |
| (443) 944-9896 | |
| Not Available |
| Full Name | Atlantic Recovery, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1323 Mount Hermon Rd Ste 3a, Salisbury, Maryland |
| Authorized Official Name and Position | Nicholas N Borodulia (PRESIDENT) |
| Authorized Official Contact | 4439449896 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Recovery, LLC 1323 Mount Hermon Rd Ste 3a Salisbury MD 21804-5258 Ph: (443) 944-9896 | Atlantic Recovery, LLC 1323 Mount Hermon Rd Ste 3a Salisbury MD 21804-5258 Ph: (443) 944-9896 |
| NPI Number | 1952812794 |
|---|---|
| Provider Enumeration Date | 10/19/2017 |
| Last Update Date | 02/28/2025 |
| Certification Date | 02/28/2025 |
| Medicare PECOS PAC ID | 5092072777 |
|---|---|
| Medicare Enrollment ID | O20171205002719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952812794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | 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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