Organization
SOUTHEAST CLINIC
Active
Other names
Jefferson Management Services, Inc.d/b/a Southeast Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA M HOLADAY M.D. (PHYSICIAN)
(870) 367-1413
Entity
Organization
Contact information
Practice address
750 H L ROSS DR, MONTICELLO, AR 71655-5705
(870) 367-1413
(870) 367-0012
Mailing address
PO BOX 1920, MONTICELLO, AR 71657-1920
(870) 367-1413
(870) 367-0012
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
E1635
AR
Other
Enumeration date
06/29/2006
Last updated
08/22/2020
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