Graduated: 2002
NPI: 1407039043
Practice Locations (2)
THREE LOWER COUNTIES COMMUNITY SERVICES INC
12137 ELM ST
PRINCESS ANNE, MD 218531358
4106511000
TIDALHEALTH PRIMARY CARE LLC
400 EASTERN SHORE DR
SALISBURY, MD 218045513
4105438240
Source: CMS National Downloadable File, September 2026.