# SOUTHLAND UNION EMERGENCY MEDICAL SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164954715
- **Authorized official:** STEPHANIE FLETCHER CPA (CFO)
- **Authorized official phone:** (229) 236-0831

## Contact information

- **Practice address:** 35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
- **Practice address phone:** (229) 236-0831
- **Practice address fax:** (229) 236-0871
- **Mailing address:** 100 S MADISON ST, THOMASVILLE, GA 31792-5473
- **Mailing address phone:** (229) 236-0831
- **Mailing address fax:** (229) 236-0871

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2017
- **Last updated:** 04/03/2017