Graduated: 2013
NPI: 1265867055
Practice Locations (2)
TIDALHEALTH PRIMARY CARE LLC
1639 WOODBROOKE DR
SALISBURY, MD 218048502
4109125785
TIDALHEALTH PRIMARY CARE LLC
400 EASTERN SHORE DR
SALISBURY, MD 218045513
4105438240
Source: CMS National Downloadable File, September 2026.