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Dr Dale Mitchum Inc
Specialist in Geneva, Alabama
NPI 1962596122

Dr Dale Mitchum Inc is a Specialist based in Geneva, AL. Dr Dale Mitchum Inc practices in Geneva, AL. The NPI Number for Dr Dale Mitchum Inc is 1962596122 and holds a License No. 12381 (Alabama).

The current practice location address for Dr Dale Mitchum Inc is 100 W Lake Professional Park, Geneva, AL and can be reached out via phone at 334-684-3007 and via fax at 334-684-3059.

Location: 100 W Lake Professional Park, Geneva, AL, 36340-0900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962596122
Provider Name
Dr Dale Mitchum Inc
Credential
Provider Entity Type
Organization
Address
100 W Lake Professional Park, Geneva, AL, 36340-0900
Phone Number
334-684-3007
Fax Number
334-684-3059
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51001850 01 AL BCBS BILLING NUMBER
institution
Provider Business Practice Location Address Details
Address
100 W Lake Professional Park
City
Geneva
State
Alabama
Zip
36340-1203
Phone Number
334-684-3007
Fax Number
334-684-3059
person
Provider Business Mailing Address Details
Address
100 W Lake Professional Park
City
Geneva
State
Alabama
Zip
36340-1203
Phone Number
334-684-3007
Fax Number
334-684-3059
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
12381 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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