| Cleveland Medical Associates | |
|
608 W King St Prof Building 2 Kings Mountain NC 28086-3358 | |
| (704) 734-5129 | |
| (704) 730-9536 |
| Full Name | Cleveland Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 608 W King St, Kings Mountain, North Carolina |
| Authorized Official Name and Position | Daniel L Wiens (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7043550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Medical Associates Po Box 60061 Charlotte NC 28260-0061 Ph: (704) 734-5129 | Cleveland Medical Associates 608 W King St Prof Building 2 Kings Mountain NC 28086-3358 Ph: (704) 734-5129 |
| NPI Number | 1922038066 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 11/06/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922038066 | NPI | - | NPPES |
| 89012UP | Medicaid | NC | |
| NPB013 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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