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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