Organization
SOUTHLAND MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE FLETCHER (CFO)
(229) 236-0831
Entity
Organization
Contact information
Practice address
35 HOSPITAL RD, BLAIRSVILLE, GA 30512-3139
(229) 236-0831
Mailing address
PO BOX 1276, THOMASVILLE, GA 31799-1276
(229) 236-0831
(229) 236-0871
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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