Tidalhealth Primary Care, LLC

NPI #1144049412 in Salisbury, Maryland

Provider Information

NPI Number
1144049412
Entity Type
Organization
Organization Name
Tidalhealth Primary Care, LLC
Primary Specialty
Family Medicine
Enumeration Date
Oct 4, 2024
Last Updated
Jul 22, 2025

Practice Location

Address
1639 WOODBROOKE DR
ZIP Code
21804-8502
Phone
(410) 912-5785

Authorized Official

Name
WILLIAM PELOT
Title
CHIEF ADMINISTRATOR OFFICER
Phone
(410) 543-7497

Specialties & Taxonomy Codes

Specialty
Family Medicine

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