| Tidalhealth Neurology | |
|
1630 Woodbrooke Dr Salisbury MD 21804-8501 | |
| (410) 912-6114 | |
| (410) 912-6115 |
| Full Name | Tidalhealth Neurology |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1630 Woodbrooke Dr, Salisbury, Maryland |
| Authorized Official Name and Position | Stephanie Gary (CFO) |
| Authorized Official Contact | 4109126059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidalhealth Neurology Po Box 2498 Salisbury MD 21802-2498 Ph: () - | Tidalhealth Neurology 1630 Woodbrooke Dr Salisbury MD 21804-8501 Ph: (410) 912-6114 |
| NPI Number | 1306461256 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306461256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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