DR DALE MITCHUM INC
Medical Practice in Geneva, AL

License number
Alabama 12381
Category
Medical Practice
Type
Specialist
Owner
Name: DR. DALE G MITCHUM
Title: OWNER/DOCTOR
Phone: (334) 684-3007
Address
Address
100 W Lake Professional Park Suite #2, Geneva, AL 36340
National Provider ID: 1962596122
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DR DALE MITCHUM INC at bizstanding.com

DR. DALE MITCHUM, INC

Geneva, AL

Registration:
Feb 4, 2008
Addresses:
100 W Lk Professional Park SUITE 2, Geneva, AL 36340 (Physical)
Geneva, AL 36340 (Mailing)
State ID:
F08000000540
Business type:
Foreign Profit Corporation
Dale Mitchum, 1109 Goosehollow Rd, Geneva, AL 36340 (Physical)
Agent:
Jo Baker,401 E Byrd Ave, Bonifay, FL 32425 (Physical)
FEI/EIN:
20-2167264

Dr. Dale Mitchum, Inc

Geneva, AL

Industry:
Practice Medicine
Registration:
Jan 14, 2005
State ID:
239-186
Business type:
Domestic Corporation
Formation place:
Geneva County
Incorporator:
Dale Mitchum (Incorporator)

Other Doctors licenses in Alabama