Organization
TIDALHEALTH PRIMARY CARE, LLC
Active
Other names
TidalHealth Family Medicine Residency Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATOR OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
560 RIVERSIDE DR STE B204, SALISBURY, MD 21801-4703
(410) 543-7720
Mailing address
560 RIVERSIDE DR STE B204, SALISBURY, MD 21801-4703
(410) 543-7720
(410) 543-7721
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2024
Last updated
07/22/2025
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