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Organization
SOUTHERN REGIONAL MOBILE HEALTHCARE SERVICES, LLC
Active
Organization
SOUTHERN REGIONAL MOBILE HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BRANDON FLETCHER (CHIEF OF OPERATIONS)
(229) 423-3376
Entity
Organization
Contact information
Practice address
808 S GRANT ST, FITZGERALD, GA 31750-3703
(229) 423-3376
(229) 423-3385
Mailing address
PO BOX 5224, FITZGERALD, GA 31750-5224
(866) 776-4707
(229) 423-3385
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
009-02
GA
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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