Organization
SOUTHLAND DODGE 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
901 GRIFFIN AVE, EASTMAN, GA 31023-6720
(478) 448-4000
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
—
—
Other
Enumeration date
05/28/2019
Last updated
06/11/2019
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