Dale L Wing (NPI# 1720045552, PAC ID# 1951492610) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1720045552 |
| PAC ID by PECOS | 1951492610 |
| Professional Enrollment ID | I20120716000045 |
| Full Name | Dale L Wing |
| Organization Legal Name | ARCHBOLD MEDICAL GROUP, INC. |
| Address |
2621 E Pinetree Blvd Thomasville GA 31792-4840 |
| Phone Number | 2295844100 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8123196383 |
| Number of Group Practice Members | 52 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110038 | JOHN D ARCHBOLD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 100 Mimosa Dr, Thomasville, GA 31792-6676 | 2292285500 | ARCHBOLD MEDICAL GROUP, INC. |
| 100 Mimosa Dr, Fl 3, Thomasville, GA 31792-6676 | ARCHBOLD MEDICAL GROUP, INC. | |
| 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 | 2295844100 | ARCHBOLD MEDICAL GROUP, INC. |
| Organization Legal Name | ARCHBOLD MEDICAL GROUP, INC. |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna A Gray | Nurse Practitioner | Archbold Medical Group, Inc. | 1090 5th St Se, Cairo, GA 39828-3139 |
| Jessica Lynn Smith | Nurse Practitioner | Archbold Medical Group, Inc. | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 |
| Richard S Stack | Urology | Archbold Medical Group, Inc. | 116 Mimosa Dr, Suite 2, Thomasville, GA 31792-6605 |
| Timothy Grayson | Urology | Archbold Medical Group, Inc. | 100 Mimosa Dr, Thomasville, GA 31792-6676 |
| Louis G Lee | Gastroenterology | Archbold Medical Group, Inc. | 947 S Broad St, Thomasville, GA 31792-6161 |
| Kristine E Deutsch | Nurse Practitioner | Archbold Medical Group, Inc. | 112 Mimosa Dr, Thomasville, GA 31792-6605 |
| Stanley B Allen | Physician Assistant | Archbold Medical Group, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| Edward L Hall Jr. | General Surgery | Archbold Medical Group, Inc. | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| Latarsha L Jones | Nurse Practitioner | Archbold Medical Group, Inc. | 704 S Broad St, Thomasville, GA 31792-6107 |
| Melissa H Porter | Physician Assistant | Archbold Medical Group, Inc. | 915 Gordon Ave, Thomasville, GA 31792-6614 |
| Street Address |
2621 E PINETREE BLVD |
| City | THOMASVILLE |
| State | GA |
| Zip | 31792-4840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Lynn Smith | Nurse Practitioner | Archbold Medical Group, Inc. | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 |
| Jackson E Hatfield | Family Medicine | Archbold Medical Group, Inc. | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 |
| Jordan L Williams | Nurse Practitioner | Archbold Medical Group, Inc. | 2621 E Pinetree Blvd, Thomasville, GA 31792-4840 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stanley B Allen | Physician Assistant | Archbold Medical Group, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| James A Thompson | Certified Clinical Nurse Specialist (cns) | John D. Archbold Memorial Hospital, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| Felicia M Yearby | Nurse Practitioner | John D. Archbold Memorial Hospital, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| Ann T Lucas | Clinical Psychologist | John D. Archbold Memorial Hospital, Inc. | 401 Old Albany Rd, Thomasville, GA 31792-4014 |
| Todd A Hanscom | Chiropractic | 409 E Jackson St, Thomasville, GA 31792-4615 | |
| David A Miller | Physical Medicine and Rehabilitation | 421 E Jackson St, Thomasville, GA 31792-4694 | |
| Albert I Richardson | General Surgery | Southern Vascular Specialists, LLC | 1019 E Jackson St, Thomasville, GA 31792-4789 |
| Karen B Lee | Nurse Practitioner | Southern Vascular Specialists, LLC | 1019 E Jackson St, Thomasville, GA 31792-4789 |
| Stephen W Pearce | Certified Registered Nurse Anesthetist (crna) | Georgia-florida Eye Centers, P.C. | 2282 E Pine Tree Boulevard, Thomasville, GA 31792-4807 |
| Robert D Webb | Ophthalmology | Georgia-florida Eye Centers, P.C. | 2282 E Pine Tree Boulevard, Thomasville, GA 31792-4807 |
| Find all physicians in zip 31792 | |||
| City | THOMASVILLE |
| Zip Code | 31792 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | THOMASVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Dale L Wing.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.