Dr. Dale Mcgregor
Family Doctor Emergency Physician Family Doctor - Geriatric Medicine
3131 S Main St
Moultrie
, Georgia 31768-6925
Dr. Dale Mcgregor
Family Doctor Emergency Physician Family Doctor - Geriatric Medicine
3131 S Main St
Moultrie
, Georgia 31768-6925
(229) 985-3420
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About
Features
Specialties
- Emergency Physician
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Dale Mcgregor
- Po Box 40
- Moultrie, GA
- Zip : 31776-0040
- Phone : (229) 985-3420
Second Address
- Dr. Dale Mcgregor
- 3131 S Main St
- Moultrie, GA
- Zip : 31768-6925
- Phone : (229) 985-3420
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | 025220 | GA |
| N | 207Q00000X | Family Doctor | 025220 | GA |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 025220 | GA |
National Provider Identifier
| NPI | 1255323564 |
|---|---|
| Provider Name | Dr. Dale Mcgregor |
| First Address | Moultrie, GA 31776-0040 |
| Second Address | Moultrie, GA 31768-6925 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2005 |
| Last Update Date | 29/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000268815A | (05) | GA |
| 000268815B | (05) | GA |
| 202I195279 | MEDICARE (01) | GA |
| FO3419 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.