| Cleveland Family Medicine Clinic | |
|
907 E Sunflower Rd Ste 101 Cleveland MS 38732-2830 | |
| (662) 721-1399 | |
| (662) 721-1380 |
| Full Name | Cleveland Family Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 907 E Sunflower Rd, Cleveland, Mississippi |
| Authorized Official Name and Position | Scott Nelson (OWNER) |
| Authorized Official Contact | 6627211399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Family Medicine Clinic 907 E Sunflower Rd Ste 101 Cleveland MS 38732-2830 Ph: (662) 721-1399 | Cleveland Family Medicine Clinic 907 E Sunflower Rd Ste 101 Cleveland MS 38732-2830 Ph: (662) 721-1399 |
| NPI Number | 1063596757 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063596757 | NPI | - | NPPES |
| 04159031 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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