Graduated: 2001
NPI: 1487851465
Practice Locations (2)
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
TIDALHEALTH SPECIALTY CARE LLC
200 E VINE ST, SUITE A
SALISBURY, MD 218045531
4105437162
Source: CMS National Downloadable File, September 2026.