Dale G Mitchum
Medical Specialty
Professional ID
- NPI: 1801997218
- PECOS ID: 8729055959
- Enrollment ID: I20050411000337
- Credential(MD, DO, DPM): MD
- Medical School: University Of Alabama School Of Medicine
- Medical School Graduation Year: 1984
Hospital Service
- Hospital CCN1: 010062
- Business Name (LBN)1: Wiregrass Medical Center
- Hospital CCN2: 101307
- Business Name (LBN)2: Doctors Memorial Hospital
- Hospital CCN3: 101308
- Business Name (LBN)3: Northwest Florida Community Hospital
- Hospital CCN4: 100142
- Business Name (LBN)4: Jackson Hospital
Medical Practices
- Organization Name: Dr Dale Mitchum Inc
- Group Practice ID assigned by PECOS: 9133176431
- Number of Group Practice member: 2
Location
- Address1: 100 W Lake Professional Park
- Address2: Suite 2
- City: Geneva
- State: Alabama
- Zip Code: 36340
- Phone Number: (334)684-3007
Location
- Address1: 2600 Hospital Dr
- Address2:
- City: Bonifay
- State: Florida
- Zip Code: 32425
- Phone Number: (334)684-3007
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):