NPI | 1760201032 |
---|---|
Other Name | TIDALHEALTH PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | WILLIAM PELOT Chief Administrator Officer 410-543-7497 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2024-10-04 |
Last Update Date | 2025-07-22 |