Southeast Clinic
NPI #1730117755 in Monticello, Arkansas
Provider Information
- NPI Number
- 1730117755
- Entity Type
- Organization
- Organization Name
- Southeast Clinic
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 29, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 750 H L ROSS DR
- City
- Monticello
- State
- Arkansas
- ZIP Code
- 71655-5705
- Phone
- (870) 367-1413
Authorized Official
- Name
- DR. LISA M HOLADAY, M.D.
- Title
- PHYSICIAN
- Phone
- (870) 367-1413
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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