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Organization
SOUTHLAND SELECT HOSPITALIST GROUP, LLC
Active
Organization
SOUTHLAND SELECT HOSPITALIST GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ALLEN LEE MD (CHIEF EXECUTIVE OFFICER)
(229) 200-4019
Entity
Organization
Contact information
Practice address
1554 SURGEONS DR, TALLAHASSEE, FL 32308-4631
(850) 219-6950
Mailing address
PO BOX 102545, ATLANTA, GA 30368-2545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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