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Organization
TIDALHEALTH PHYSICIAN NETWORK, INC.
Active
Organization
TIDALHEALTH PHYSICIAN NETWORK, INC.
Active
Other names
Nanticoke Immediate Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WILLIAM PELOT (CHIEF ADMINISTRATOR OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
100 RAWLINS DR, SEAFORD, DE 19973-5881
(302) 536-5415
Mailing address
801 MIDDLEFORD RD, SEAFORD, DE 19973-3636
(302) 629-5217
(302) 629-9837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HSPTL-008
DE
Other
Enumeration date
03/19/2014
Last updated
07/22/2025
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