# COVID CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770101990
- **Authorized official:** SEBRINA HOLT (DIRECTOR OF PHYSICIAN NETWORK)
- **Authorized official phone:** (256) 216-9648

## Contact information

- **Practice address:** 1005 W MARKET ST STE 7, ATHENS, AL 35611-2454
- **Practice address phone:** (256) 216-9744
- **Mailing address:** 1005 W MARKET ST STE 7, ATHENS, AL 35611-2454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/14/2020
- **Last updated:** 01/05/2024