# SOUTHERN REGIONAL MOBILE HEALTHCARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1700112398
- **Authorized official:** CHARLES BRANDON FLETCHER (CHIEF OF OPERATIONS)
- **Authorized official phone:** (229) 423-3376

## Contact information

- **Practice address:** 808 S GRANT ST, FITZGERALD, GA 31750-3703
- **Practice address phone:** (229) 423-3376
- **Practice address fax:** (229) 423-3385
- **Mailing address:** PO BOX 5224, FITZGERALD, GA 31750-5224
- **Mailing address phone:** (866) 776-4707
- **Mailing address fax:** (229) 423-3385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 009-02 | GA | Yes |

## Other

- **Enumeration date:** 11/02/2009
- **Last updated:** 11/02/2009