Graduated: 2019
NPI: 1639819212
Practice Locations (2)
TIDALHEALTH ATLANTIC INC
10614 RACETRACK RD, SUITE 5
BERLIN, MD 218113376
4102089761
TIDALHEALTH PRIMARY CARE LLC
400 EASTERN SHORE DR
SALISBURY, MD 218045513
4105438240
Source: CMS National Downloadable File, September 2026.