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DR DALE MITCHUM INC
NPI 1962596122
Specialist in Geneva, AL

Active since October 03, 2006
100 W LAKE PROFESSIONAL PARK, SUITE #2, GENEVA, AL 36340(334) 684-3007(334) 684-3059 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr Dale Mitchum Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR DALE MITCHUM INC (NPI 1962596122) is a healthcare organization registered as a specialist in Geneva, Alabama and active in the NPI registry since October 2006. The organization lists Dale G Mitchum, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1962596122
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDR DALE MITCHUM INC
Location Address100 W LAKE PROFESSIONAL PARK, SUITE #2Geneva, AL 36340-1203
Mailing AddressPo Box 900Geneva, AL 36340-0900 · (334) 684-3007 · Fax (334) 684-3059
Phone(334) 684-3007
Fax(334) 684-3059
Organization SubpartNo
Authorized OfficialDale G MitchumOwner/doctor · (334) 684-3007
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 24, 2008
✔ NPI 1962596122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 12381
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
100 W LAKE PROFESSIONAL PARK, Geneva, AL 36340
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Other Identifiers 3

Medicare UPINE14405AL
Other51001850AL · Bcbs Billing Number
Medicare ID-Type Unspecified05155573AL · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIALYSIS CLINIC INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
100 W LAKE PROFESSIONAL PARK, SUITE 7
GENEVA, AL 36340
Geneva County (334) 684-0175
MITCHUM MEDICAL CLINIC, INC.
Family Medicine
100 W LAKE PROFESSIONAL PARK
GENEVA, AL 36340
Geneva County (334) 684-9400
MRS. BROOKE D MAJORS LPTA
Physical Therapy Assistant
100 W LAKE PROFESSIONAL PARK, SUITE5
GENEVA, AL 36340
Geneva County (334) 684-3919
GENEVA FAMILY DENTISTRY, LLC
Dentist
100 W LAKE PROFESSIONAL PARK, SUITE 5
GENEVA, AL 36340
Geneva County (334) 805-3975

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Dale Mitchum Inc's NPI number?

The NPI number for Dr Dale Mitchum Inc is 1962596122. It was assigned to this organization in the NPPES registry on October 3, 2006.

Where is Dr Dale Mitchum Inc located?

Dr Dale Mitchum Inc is located at 100 W Lake Professional Park Suite #2, Geneva, AL 36340. The listed phone number is (334) 684-3007.

What is Dr Dale Mitchum Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Dr Dale Mitchum Inc was last updated on March 24, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.