| Tidalhealth Specialty Care, Llc | |
|
1640 Woodbrooke Dr Salisbury MD 21804-8501 | |
| (410) 912-5640 | |
| Not Available |
| Full Name | Tidalhealth Specialty Care, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1640 Woodbrooke Dr, Salisbury, Maryland |
| Authorized Official Name and Position | Stephanie Gary (CFO) |
| Authorized Official Contact | 4109126059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidalhealth Specialty Care, Llc Po Box 825461 Philadelphia PA 19182-5461 Ph: () - | Tidalhealth Specialty Care, Llc 1640 Woodbrooke Dr Salisbury MD 21804-8501 Ph: (410) 912-5640 |
| NPI Number | 1013532969 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 02/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013532969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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