Organization
SOUTHLAND CLINCH EMERGENCY MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE L FLETCHER (CFO)
(229) 236-0831
Entity
Organization
Contact information
Practice address
1050 VALDOSTA HWY, HOMERVILLE, GA 31634-9701
(912) 487-5211
Mailing address
100 S MADISON ST, THOMASVILLE, GA 31792-5473
(229) 236-0831
(229) 236-0871
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
GA
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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