Individual provider · Type 1 NPI

Dale Alan Whitaker Jr., MD

Student in an Organized Health Care Education/Training Program · Gadsden, AL

NPI number 1124720776 Active

Practice location

1026 Goodyear Ave Ste 100
Gadsden, AL 35903-1194

Call (256) 413-6257 Map

Mailing address

2001 Kingsley Ave
Orange Park, FL 32073-5148

Other practice locations

  • 2001 Kingsley Ave, Orange Park, FL 32073-5148 · (904) 639-2112

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124720776

Dale Alan Whitaker Jr., MD's National Provider Identifier is 1124720776, issued on Mar 20, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gadsden, AL. The record was last updated on Jul 29, 2025.