Graduated: 1978
NPI: 1174631352
Practice Locations (3)
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
TIDALHEALTH SPECIALTY CARE LLC
1630 WOODBROOKE DR
SALISBURY, MD 218048501
TIDALHEALTH SPECIALTY CARE LLC
1640 WOODBROOKE DR
SALISBURY, MD 218048501
4109125640
Source: CMS National Downloadable File, September 2026.