Organization
SOUTHLAND TN EMERGENCY MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE FLETCHER (CFO)
(229) 236-0831
Entity
Organization
Contact information
Practice address
103 JV MANGUBAT DR, WAYNESBORO, TN 38485-2440
(229) 236-0831
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
12/04/2024
Last updated
12/04/2024
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