Graduated: 2001
NPI: 1295877231
Practice Locations (3)
TIDALHEALTH PHYSICIAN NETWORK, INC.
SEAFORD, DE 19973
30262966118802
TIDALHEALTH PHYSICIAN NETWORK, INC.
100 RAWLINS DR
SEAFORD, DE 199735881
3029903300
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
4109124976
Source: CMS National Downloadable File, September 2026.