| NPI | 1780315440 |
|---|---|
| Doing Business As | TIDE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DAVID L WILLIAMS Owner 205-331-4903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |