| Linda Dale | |
|
1929 Villanow Mill Creek Rd La Fayette GA 30728-5732 | |
| (706) 638-5580 | |
| (706) 638-5445 |
| Full Name | Linda Dale |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1929 Villanow Mill Creek Rd, La Fayette, Georgia |
| Authorized Official Name and Position | Alicia Michelle Howard (CREDENTIALING) |
| Authorized Official Contact | 7066701080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Dale Po Box 1027 La Fayette GA 30728-1027 Ph: (423) 304-2847 | Linda Dale 1929 Villanow Mill Creek Rd La Fayette GA 30728-5732 Ph: (706) 638-5580 |
| NPI Number | 1184962326 |
|---|---|
| Provider Enumeration Date | 01/23/2013 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184962326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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