Organization
TIDALHEALTH PRIMARY CARE, LLC
Active
Other names
TidalHealth Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PELOT (CHIEF ADMINISTRATOR OFFICER)
(410) 543-7497
Entity
Organization
Contact information
Practice address
428 W MARKET ST, SNOW HILL, MD 21863-1127
(410) 912-4950
Mailing address
PO BOX 825474, PHILADELPHIA, PA 19182-5474
(410) 912-6989
(410) 912-4972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
07/22/2025
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