Graduated: 2002
NPI: 1205097698
Practice Locations (2)
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST, TIDALHEALTH PULMONARY
SALISBURY, MD 218015422
4105437722
Source: CMS National Downloadable File, September 2026.