Organization
SOUTHLAND ADEL EMERGENCY SERVICES, LLC.
Active
Organization
SOUTHLAND ADEL EMERGENCY SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALLEN LEE MD (PRESIDENT)
(229) 200-4019
Entity
Organization
Contact information
Practice address
706 N PARRISH AVE, ADEL, GA 31620-1511
(229) 977-6692
Mailing address
PO BOX 501, CAIRO, GA 39828-0501
(229) 977-6692
(229) 377-0058
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
06/20/2011
Last updated
08/10/2011
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