Graduated: 1989
NPI: 1780652446
Practice Locations (3)
TIDALHEALTH ATLANTIC INC
9733 HEALTHWAY DR
BERLIN, MD 218111155
4106411100
TIDALHEALTH SPECIALTY CARE LLC
9733 HEALTHWAY DR
BERLIN, MD 218111155
4109124976
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
Source: CMS National Downloadable File, September 2026.