| NPI | 1730117755 |
|---|---|
| Doing Business As | JEFFERSON MANAGEMENT SERVICES, INC.D/B/A SOUTHEAST CLINIC |
| Entity Type | Organization |
| Authorized Contact | LISA M HOLADAY Physician 870-367-1413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: AR E1635) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |