Graduated: 2016
NPI: 1003357211
Practice Locations (3)
TIDALHEALTH PRIMARY CARE LLC
30265 COMMERCE DR, UNIT 206
MILLSBORO, DE 199663595
3027328400
TIDALHEALTH ATLANTIC INC
37464 LION DR, UNIT 2
SELBYVILLE, DE 199753879
3025640004
TIDALHEALTH ATLANTIC INC
38394 DUPONT BLVD, UNIT H
SELBYVILLE, DE 199753049
3025245007
Source: CMS National Downloadable File, September 2026.