Worthingstun, Dean Dale

Worthingstun, Dean Dale is an sole proprietor health care provider with primary practice located at 980 E Main St Suite 300, Blue Ridge GA 30513-7139. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Worthingstun, Dean Dale can be contacted via phone (706) 946-7300.

Contact Information

Primary practice address
980 E Main St Suite 300 Blue Ridge GA 30513-7139
Phone: (706) 946-7300
Fax: (706) 946-7305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 66676 Georgia
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 66676 Georgia
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 66676 Georgia

Profile Details

NPI number 1013199637
LBN Legal business name Worthingstun, Dean Dale
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2007
Last updated Jun 20th, 2024 - about 3 months 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 1013199637 NPPES
Georgia MEDICAID 003115964

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