# SOUTHLAND - LAKELAND MEDICAL SERVICES, LLC

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

## Provider details

- **NPI number:** 1821341397
- **Authorized official:** STEPHANIE FLETCHER (CFO)
- **Authorized official phone:** (229) 236-0831

## Contact information

- **Practice address:** 116 W THIGPEN AVE, LAKELAND, GA 31635-1011
- **Practice address phone:** (229) 236-0831
- **Mailing address:** PO BOX 1276, THOMASVILLE, GA 31799-1276
- **Mailing address phone:** (229) 977-6692
- **Mailing address fax:** (229) 377-0058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | — | Yes |
| 282NC0060X | Critical Access Hospital | — | — | — |

## Other

- **Enumeration date:** 10/22/2012
- **Last updated:** 04/24/2024