| NPI | 1134971807 |
|---|---|
| Other Name | TIDALHEALTH FAMILY MEDICINE RESIDENCY CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM PELOT Chief Administrator Officer 410-543-7497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2025-07-22 |