Graduated: 1992
NPI: 1962499400
Practice Locations (6)
TIDALHEALTH ATLANTIC INC
9714 HEALTHWAY DR
BERLIN, MD 218111154
4106413340
TIDALHEALTH ATLANTIC INC
9733 HEALTHWAY DR
BERLIN, MD 218111155
4106411100
TIDALHEALTH SPECIALTY CARE LLC
9733 HEALTHWAY DR
BERLIN, MD 218111155
4109124976
TIDALHEALTH ATLANTIC INC
9733 HEALTHWAY DR, SUITE 101
BERLIN, MD 218111155
4106296888
TIDALHEALTH SPECIALTY CARE LLC
100 E CARROLL ST
SALISBURY, MD 218015422
TIDALHEALTH ATLANTIC INC
6040 PUBLIC LANDING RD
SNOW HILL, MD 218632453
4106290041
Source: CMS National Downloadable File, September 2026.