DALE WING (NPI# 1720045552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720045552 |
| Entity Type | Individual |
| Full Name | DALE WING |
| Credential | MD |
| Practice Address |
2621 E Pinetree Blvd Thomasville GA 31792-4840 |
| Practice Telephone | 2295844100 |
| Practice Fax Number | 2295845955 |
| Mailing Telephone | 2295844100 |
| Mailing Fax Number | 2295845955 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 068022 | GA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 15430 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00122485 | 05 |
| Street Address |
2621 E PINETREE BLVD |
| City | THOMASVILLE |
| State | GA |
| Zip Code | 31792-4840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326034505 | Stanley Bruce Allen | Physician Assistant | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2005-09-23 |
| 1457987349 | Kaycie Langston | Nurse Practitioner | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2020-03-23 |
| 1235615618 | Jessica Lynn Smith | Nurse Practitioner | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2018-07-18 |
| 1932620911 | Sadie H Burke | Nurse Practitioner | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2017-06-29 |
| 1407383805 | Rachel Anderson | Family Medicine | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2017-05-16 |
| 1508132887 | Archbold Medical Group, Inc. | General Practice | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2012-03-30 |
| 1316238744 | Jackson E Hatfield | Family Medicine | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2011-04-19 |
| 1063485068 | Jason E Griffin | Family Medicine | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739879 | Georgia Pines Community Service Board | Community/Behavioral Health | 407 Cloverdale Drive, Thomasville, GA 31792 | 2018-02-09 |
| 1932613551 | Diana Diaz | Physician Assistant | 2705 E Pinetree Blvd Ste A, Thomasville, GA 31792 | 2017-11-17 |
| 1194249425 | Bobbie Frazier | Contractor | 400 Cloverdale Dr, Thomasville, GA 31792 | 2017-07-28 |
| 1598132292 | Southern Scripts, LLC | Pharmacy | 501 Gordon Avenue, Thomasville, GA 31792 | 2015-08-28 |
| 1508248915 | Elizabeth Nicole Keen | Behavioral Analyst | 121 Covington Ave Apt 9, Thomasville, GA 31792 | 2015-06-22 |
| 1417341579 | Sheila L Stanley | Counselor | 301 Summercreek Cove, Thomasville, GA 31792 | 2015-03-26 |
| 1457749301 | Ashley Lamb | Speech-Language Pathologist | 1203 East Jackson Street, Thomasville, GA 31792 | 2014-12-30 |
| 1831403880 | Somnoquest | Durable Medical Equipment & Medical Supplies | 556 Hall Road, Thomasville, GA 31792 | 2010-08-02 |
| 1508000183 | Kashyap B Choksi | Internal Medicine | 100 Mimosa Drive 2nd Floor, Thomasville, GA 31792 | 2009-04-27 |
| 1205008786 | Mark J Glaccum | Chiropractor | 415 Gordon Avenue, Thomasville, GA 31792 | 2008-03-25 |
| Find all providers in zip 31792 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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 is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033778923 | Shaw Living PC | Family Medicine | 2484 E Pinetree Blvd, Thomasville, GA 31792-4854 | 2019-06-13 |
| 1316455124 | Med First Immediate Care & Family Practice, Pa | Family Medicine | 1033 Randolph St Ste 32, Thomasville, NC 27360-5731 | 2018-01-15 |
| 1710276027 | Cornerstone Health Care Pa | Family Medicine | 6329 Unity St, Ste I, Thomasville, NC 27360-7186 | 2011-04-07 |
| 1912156878 | Clarke County Family Medicine LLC | Family Medicine | 33650 Highway 43 Ste 100, Thomasville, AL 36784-3307 | 2008-09-16 |
| 1831353036 | Archbold Medical Group, Inc. | Family Medicine | 900 Cairo Rd, Thomasville, GA 31792-4255 | 2008-07-16 |
| 1093873879 | Thomasville Primary Care | Family Medicine | 708 S Broad St, Thomasville, GA 31792-6107 | 2006-12-05 |
| 1548343593 | Jeremy W Poole | Family Medicine | 951 S Broad St, Thomasville, GA 31792-6161 | 2006-10-23 |
| 1316041478 | Family Medical Center-thomasville PC | Family Medicine | 1415 Mosley Drive, Thomasville, AL 36784 | 2006-09-11 |
| 1144322306 | Clarke County Medical Group LLC | Family Medicine | 3050 Highway 5, Unit 134, Thomasville, AL 36784-4325 | 2006-09-01 |
| 1144253436 | Haresh M Kathard | Family Medicine | 207 Old Lexington Road, Thomasville, NC 27360 | 2006-07-09 |
| Find all providers in THOMASVILLE | ||||
| City | THOMASVILLE |
| Zip Code | 31792 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.