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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