Tidalhealth Primary Care, LLC

NPI #1720807092 in Crisfield, Maryland

Provider Information

NPI Number: 1720807092
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: 201 HALL HWY
City: Crisfield
State: Maryland
ZIP Code: 21817-1237
Phone: (410) 968-1801

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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