Dale Medical Center

NPI #1003264136 in Ozark, Alabama

Provider Information

NPI Number: 1003264136
Entity Type: Organization
Organization Name: Dale Medical Center
Subpart: Yes (part of a larger organization)
Parent Organization: DALE MEDICAL CENTER
Primary Specialty: Family Medicine
Enumeration Date: May 31, 2016
Last Updated: Apr 11, 2018

Practice Location

Address: 633 SOUTH UNION AVE
City: Ozark
State: Alabama
ZIP Code: 36360
Phone: (334) 774-7572

Authorized Official

Name: MR. VERNON L. JOHNSON
Title: CEO
Phone: (334) 774-2601

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Family Medicine	207Q00000X	Primary

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