Individual
DR. DALE G MITCHUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W LAKE PROFESSIONAL PARK STE 2, 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
208600000X
Surgery Physician
Primary
12381
AL
Other
Enumeration date
09/26/2006
Last updated
03/24/2008
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