# TIDALHEALTH SPECIALTY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669067534
- **Authorized official:** WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (410) 543-7497

## Contact information

- **Practice address:** 400 EASTERN SHORE DR, SALISBURY, MD 21804-5513
- **Practice address phone:** (410) 912-4976
- **Mailing address:** PO BOX 2498, SALISBURY, MD 21802-2498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/03/2021
- **Last updated:** 07/22/2025