Provider Demographics
NPI:1336133131
Name:GAYLE, DAVID DUNN (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:DUNN
Last Name:GAYLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:4300 W MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-1054
Mailing Address - Country:US
Mailing Address - Phone:334-793-9564
Mailing Address - Fax:334-671-8907
Practice Address - Street 1:1118 ROSS CLARK CIR STE 303
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36301-3034
Practice Address - Country:US
Practice Address - Phone:343-794-3192
Practice Address - Fax:877-553-0033
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2022-01-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL14667207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000737294GMedicaid
AL000026377Medicaid
FL251847300Medicaid
GA0737294AMedicaid