| NPI | 1700350543 |
|---|---|
| Doing Business As | SOUTHEAST PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | KRISTA BERRY CFO 573-331-6028 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2019-01-15 |