# TIDALHEALTH SPECIALTY CARE, LLC

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

## Provider details

- **NPI number:** 1083239933
- **Legal business name:** TIDALHEALTH SPECIALTY CARE, LLC
- **Authorized official:** WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (410) 543-7497

## Contact information

- **Practice address:** 264 TILGHMAN RD, SALISBURY, MD 21804-1921
- **Practice address phone:** (410) 742-7246
- **Practice address fax:** (410) 912-3610
- **Mailing address:** PO BOX 2498, SALISBURY, MD 21802-2498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

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