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Organization

DALE MEDICAL CENTER

Active
Parent organization
DALE MEDICAL CENTER
Other names
Dale Pediatric Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
DALE MEDICAL CENTER
Authorized official
REGINA MAY CPC (CONTRACT MANAGER)
(334) 793-8087
Entity
Organization

Contact information

Practice address
322 WHITE AVE, OZARK, AL 36360-0908
(334) 793-8087
(334) 793-8191
Mailing address
PO BOX 863, OZARK, AL 36361-0863
(334) 793-8087
(334) 793-8191

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
02/05/2007
Last updated
11/06/2007
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