Mitchum Medical Clinic, Inc. in Geneva - Family Medicine
Mitchum Medical Clinic, Inc. - NPI 1578676078
Mitchum Medical Clinic, Inc. is a Family Medicine in Geneva, Alabama. Mitchum Medical Clinic, Inc. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mitchum Medical Clinic, Inc. is 1578676078. The last update date is 2007-09-20.
Mitchum Medical Clinic, Inc.'s current location address is 100 W Lake Professional Park, Geneva, Alabama. You can contact this provider via phone number 3346849400 and fax number 3346846262. The mailing address for Mitchum Medical Clinic, Inc. is 100 W Lake Professional Park, Geneva, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mitchum Medical Clinic, Inc. |
|---|---|
| Address | 100 W Lake Professional Park, Geneva, Alabama |
| Phone Number | 3346849400 |
| Fax Number | 3346846262 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Mitchum Dale Otis |
| Credentials | M.D. |
| Telephone Number | 3346849400 |
NPI Number Detail
| NPI Number | 1578676078 |
|---|---|
| Provider Enumeration Date | 2006-08-17 |
| Last Updated Date | 2007-09-20 |
Provider Mailing Address Detail
| Address | 100 W Lake Professional Park |
|---|---|
| City | Geneva |
| State | Alabama (AL) |
| Post Code | 363401203 |
| Phone Number | 3346849400 |
| Fax Number | 3346846262 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2656 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Mitchum Medical Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The Mitchum Medical Clinic, Inc. has been issued the NPI (National Provider Identifier) 1578676078, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Mitchum Medical Clinic, Inc.?
The Mitchum Medical Clinic, Inc. is situated at 100 W Lake Professional Park, in the city of Geneva, state of AL, with the zip code 363401203.
What is the Mitchum Medical Clinic, Inc.'s specialty and taxonomy code?
The Mitchum Medical Clinic, Inc.'s specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578676078 to Mitchum Medical Clinic, Inc.?
The Mitchum Medical Clinic, Inc. received its 1578676078 assignment from the Centers for Medicare & Medicaid Services on 2006-08-17.
As of what date was the information regarding Mitchum Medical Clinic, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mitchum Medical Clinic, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-20.