E MEDICAL STAFFING, LLC.
500 Lanier Avenue, West
Suite 410
Fayetteville, Georgia   30214
Phone/Fax#:  (678)489-4536
E-mail:  credentials@emedicalstaffing.org
Website: www.emedicalstaffing.org

IF YOU ARE A HEALTH CARE FACILITY REPRESENTATIVE AND HAVE STAFFING NEEDS, PLEASE COMPLETE THE FOLLOWING INFORMATION. OUR STAFFING COORDINATOR WILL CONTACT YOU AS SOON AS POSSIBLE.

 

FACILITY NAME:

FACILITIY ADDRESS:

 

CITY:

STATE:

ZIP CODE:

CONTACT NAME:

 

 

PHONE NUMBER:

EXTENSION:

FAX NUMBER:

EMAIL ADDRESS:

 

 

 



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