| Dtna - Cleveland Truck Occ | |
|
11550 Statesville Blvd Cleveland NC 27013-8114 | |
| (704) 645-5997 | |
| Not Available |
| Full Name | Dtna - Cleveland Truck Occ |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 11550 Statesville Blvd, Cleveland, North Carolina |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtna - Cleveland Truck Occ 5500 Maryland Way Brentwood TN 37027-7048 Ph: () - | Dtna - Cleveland Truck Occ 11550 Statesville Blvd Cleveland NC 27013-8114 Ph: (704) 645-5997 |
| NPI Number | 1861167017 |
|---|---|
| Provider Enumeration Date | 08/10/2021 |
| Last Update Date | 08/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861167017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Premise Health Of North Carolina Medical, P.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11550 Statesville Blvd, Cleveland, NC 27013 Phone: 704-645-5997 | |
Dtna - Cleveland Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Bear Poplar Rd, Cleveland, NC 27013 Phone: 704-326-5250 Fax: 704-326-5248 | |
Novant Health West Rowan Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 School St, Cleveland, NC 27103 Phone: 704-210-7885 Fax: 704-210-7898 |