Individual
PAUL STEPHEN DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 1ST ST STE 240, MACON, GA 31201-8308
(478) 633-6900
(478) 633-2175
Mailing address
800 1ST ST STE 240, MACON, GA 31201-8308
(478) 633-6900
(478) 633-2175
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
033063
GA
Other
Enumeration date
06/01/2006
Last updated
09/16/2020
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