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Organization
DALE MEDICAL CENTER
Active
Organization
DALE MEDICAL CENTER
Active
Parent organization
DALE MEDICAL CENTER
Other names
South Union Family Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
DALE MEDICAL CENTER
Authorized official
MR. VERNON L. JOHNSON (CEO)
(334) 774-2601
Entity
Organization
Contact information
Practice address
633 SOUTH UNION AVE, OZARK, AL 36360
(334) 774-7572
(334) 774-6237
Mailing address
PO BOX 863, OZARK, AL 36361-0863
(334) 443-1211
(334) 443-0131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/31/2016
Last updated
04/11/2018
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