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Mitchum Medical Clinic, Inc.

NPI #1578676078 in Geneva, Alabama

Provider Information

NPI Number
1578676078
Entity Type
Organization
Organization Name
Mitchum Medical Clinic, Inc.
Primary Specialty
Family Medicine
Enumeration Date
Aug 17, 2006
Last Updated
Sep 20, 2007

Practice Location

Address
100 W LAKE PROFESSIONAL PARK
City
Geneva
State
Alabama
ZIP Code
36340-1203
Phone
(334) 684-9400

Authorized Official

Name
DR. OTIS DALE MITCHUM, M.D.
Title
PRESIDENT/PHYSICIAN
Phone
(334) 684-9400

Specialties & Taxonomy Codes

Specialty
Family Medicine

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