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Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Organization
TIDALHEALTH SPECIALTY CARE, LLC
Active
Other names
TidalHealth Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATIVE OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
804 SNOW HILL RD, SALISBURY, MD 21804-1938
(410) 543-7599
Mailing address
PO BOX 825461, PHILADELPHIA, PA 19182-5461
(410) 912-6053
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
07/22/2025
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