# SOUTHLAND ADEL EMERGENCY SERVICES, LLC.

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

## Provider details

- **NPI number:** 1861788762
- **Authorized official:** DR. MARK ALLEN LEE MD (PRESIDENT)
- **Authorized official phone:** (229) 200-4019

## Contact information

- **Practice address:** 706 N PARRISH AVE, ADEL, GA 31620-1511
- **Practice address phone:** (229) 977-6692
- **Mailing address:** PO BOX 501, CAIRO, GA 39828-0501
- **Mailing address phone:** (229) 977-6692
- **Mailing address fax:** (229) 377-0058

## 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:** 06/20/2011
- **Last updated:** 08/10/2011