# TIDALHEALTH PHYSICIAN NETWORK, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nanticoke Immediate Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912324658
- **Authorized official:** MRS. WILLIAM PELOT (CHIEF ADMINISTRATOR OFFICER)
- **Authorized official phone:** (410) 543-7497

## Contact information

- **Practice address:** 100 RAWLINS DR, SEAFORD, DE 19973-5881
- **Practice address phone:** (302) 536-5415
- **Mailing address:** 801 MIDDLEFORD RD, SEAFORD, DE 19973-3636
- **Mailing address phone:** (302) 629-5217
- **Mailing address fax:** (302) 629-9837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | HSPTL-008 | DE | Yes |

## Other

- **Enumeration date:** 03/19/2014
- **Last updated:** 07/22/2025