Organization
SOUTHLAND OPTIM JENKINS EMERGENCY MEDICAL SERVICES, LLC
Active
Other names
DBA Southland Liberty Emergency Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE FLETCHER CPA (CHIEF FINANCIAL OFFICER)
(229) 520-7115
Entity
Organization
Contact information
Practice address
455 S MAIN ST STE 103, HINESVILLE, GA 31313-4354
(912) 369-4673
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
—
—
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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