Organization
SOUTHERN REGIONAL MOBILE HEALTHCARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BRANDON FLETCHER (CHIEF OF OPERATIONS)
(229) 423-3376
Entity
Organization
Contact information
Practice address
808 S GRANT ST, FITZGERALD, GA 31750-3703
(229) 423-3376
(229) 423-3385
Mailing address
PO BOX 5224, FITZGERALD, GA 31750-5224
(866) 776-4707
(229) 423-3385
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
009-02
GA
Other
Enumeration date
11/02/2009
Last updated
11/02/2009
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