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Organization

SOUTHLAND DODGE HOSPITALIST SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE FLETCHER (CFO)
(229) 236-0831
Entity
Organization

Contact information

Practice address
901 GRIFFIN AVE, EASTMAN, GA 31023-6784
(478) 448-4000
Mailing address
100 S MADISON ST, THOMASVILLE, GA 31792-5473
(229) 236-0831
(229) 236-0871

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary

Other

Enumeration date
07/29/2019
Last updated
07/29/2019
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