Individual
DALE NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
340 EISENHOWER DR STE 1305, SAVANNAH, GA 31406-1607
(706) 975-5993
(912) 304-5793
Mailing address
PO BOX 1084, VIDALIA, GA 30475-1084
(912) 045-7933
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
048448
GA
2085R0202X
Diagnostic Radiology Physician
MD26324
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003830023
REGENCE BC BS
OR
05
—
273838
—
OR
05
—
8448136
—
WA
Enumeration date
06/25/2006
Last updated
06/07/2019
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