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Contact Information

CLEVELAND MEDICAL CLINIC INC
2305 CHAMBLISS AVE
CLEVELAND, TN37320
 Phone: 423-559-6000
 Fax: 423-559-6653
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for CLEVELAND MEDICAL CLINIC INC · (Female)

NPI Number 1720149222
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2006
Last updated 08/13/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA Medicaid 840698446A
  • TN Medicaid 3710153
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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