Provider Demographics
NPI:1457348377
Name:BEARMAN, DALE MITCHELL (MD)
Entity Type:Individual
Prefix:DR
First Name:DALE
Middle Name:MITCHELL
Last Name:BEARMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5780 PEACHTREE DUNWOODY ROAD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1513
Mailing Address - Country:US
Mailing Address - Phone:404-303-1224
Mailing Address - Fax:404-303-1325
Practice Address - Street 1:4800 OLDE TOWNE PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-4357
Practice Address - Country:US
Practice Address - Phone:770-977-1510
Practice Address - Fax:770-509-8858
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2017-03-23
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Provider Licenses
StateLicense IDTaxonomies
GA030432207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000478838IMedicaid
GA000478838HMedicaid
GA000478838DMedicaid
GA000478838HMedicaid