# TIDALHEALTH SPECIALTY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TIDALHEALTH SPECIALTY CARE, LLC
- **Other names:** TidalHealth Gastroenterology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013532969
- **Legal business name:** TIDALHEALTH SPECIALTY CARE, LLC
- **Authorized official:** WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (410) 543-7497

## Contact information

- **Practice address:** 1640 WOODBROOKE DR, SALISBURY, MD 21804-8501
- **Practice address phone:** (410) 912-5640
- **Mailing address:** PO BOX 825461, PHILADELPHIA, PA 19182-5461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/16/2020
- **Last updated:** 07/22/2025