Organization
DALE L. MCGREGOR, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE LEE MCGREGOR D.O. (PHYSICIAN/PRESIDENT)
(229) 985-3400
Entity
Organization
Contact information
Practice address
102 COBBLESTONE TRCE SE, MOULTRIE, GA 31788-7748
(229) 985-3400
Mailing address
102 COBBLESTONE TRCE SE, MOULTRIE, GA 31788-7748
(229) 985-3400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
025220
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000268815A
—
GA
Enumeration date
07/23/2007
Last updated
12/19/2014
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