Organization
DR. DALE MITCHUM INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE G MITCHUM MD (OWNER)
(334) 684-3007
Entity
Organization
Contact information
Practice address
100 W LAKE PROFESSIONAL PARK STE 2, GENEVA, GENEVA, AL 36340-1200
(334) 684-3007
(334) 684-3059
Mailing address
PO BOX 900, GENEVA, AL 36340-0900
(334) 684-3007
(334) 684-3059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12381
AL
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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