Bearman, Dale Mitchell

Bearman, Dale Mitchell is an individual health care provider with primary practice located at 4800 Olde Towne Pkwy Suite 150, Marietta GA 30068-4357. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bearman, Dale Mitchell can be contacted via phone (770) 977-1510.

Contact Information

Primary practice address
4800 Olde Towne Pkwy Suite 150 Marietta GA 30068-4357
Phone: (770) 977-1510
Fax: (770) 509-8858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 030432 Georgia

Profile Details

NPI number 1457348377
LBN Legal business name Bearman, Dale Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Mar 23rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457348377 NPPES
Georgia MEDICAID 000478838I
Georgia MEDICAID 000478838H
Georgia MEDICAID 000478838D

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