| Tidalhealth Primary Care, Llc | |
|
15 N Williams St Selbyville DE 19975-7514 | |
| (302) 436-8004 | |
| Not Available |
| Full Name | Tidalhealth Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 15 N Williams St, Selbyville, Delaware |
| Authorized Official Name and Position | Sloan Trammell (INSURANCE CREDENTIALING MANAGER) |
| Authorized Official Contact | 4109126989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidalhealth Primary Care, Llc Po Box 825474 Philadelphia PA 19182-5474 Ph: () - | Tidalhealth Primary Care, Llc 15 N Williams St Selbyville DE 19975-7514 Ph: (302) 436-8004 |
| NPI Number | 1366304420 |
|---|---|
| Provider Enumeration Date | 11/26/2025 |
| Last Update Date | 11/26/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366304420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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