| Tidalhealth Primary Care, Llc | |
|
305 10th St Ste 101 Pocomoke City MD 21851-1607 | |
| (410) 912-6167 | |
| Not Available |
| Full Name | Tidalhealth Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 305 10th St Ste 101, Pocomoke City, Maryland |
| Authorized Official Name and Position | Stephanie Gary (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 4109126059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tidalhealth Primary Care, Llc Po Box 825474 Philadelphia PA 19182-5474 Ph: (410) 912-6989 | Tidalhealth Primary Care, Llc 305 10th St Ste 101 Pocomoke City MD 21851-1607 Ph: (410) 912-6167 |
| NPI Number | 1255150520 |
|---|---|
| Provider Enumeration Date | 10/04/2024 |
| Last Update Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255150520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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