Organization
COVID CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBRINA HOLT (DIRECTOR OF PHYSICIAN NETWORK)
(256) 216-9648
Entity
Organization
Contact information
Practice address
1005 W MARKET ST STE 7, ATHENS, AL 35611-2454
(256) 216-9744
Mailing address
1005 W MARKET ST STE 7, ATHENS, AL 35611-2454
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
01/05/2024
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