| NPI | 1699594960 |
|---|---|
| Other Name | TIDALHEALTH PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GARY Vice President Finance 410-912-6059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-10-04 |
| Last Update Date | 2024-10-04 |