Graduated: 1996
NPI: 1619950961
Practice Locations (3)
THREE LOWER COUNTIES COMMUNITY SERVICES INC
12137 ELM ST
PRINCESS ANNE, MD 218531358
4106511000
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
TIDALHEALTH SPECIALTY CARE LLC
145 E CARROLL ST, SUITE B102
SALISBURY, MD 218015454
4109126172
Source: CMS National Downloadable File, September 2026.