Dale Medical Center
Family Medicine in Ozark, AL. Organization (NPI-2).
NPI number1003264136
StatusActive
Last updated in NPPESApr 11, 2018
Details
- NPI
- 1003264136
- Entity type
- Organization (NPI-2)
- Legal business name
- Dale Medical Center
- Organization subpart
- Yes
- Enumeration date
- May 31, 2016
- Last updated
- Apr 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Other names
- South Union Family Medicine (Other Name)
Practice location
633 South Union AveOzark, AL 36360
Phone 334-774-7572 · Fax 334-774-6237
Mailing address
Po Box 863Ozark, AL 36361-0863
Phone 334-443-1211 · Fax 334-443-0131
Authorized official
Vernon L. Johnson
Ceo
3347742601
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