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NPI Code Detail

MEDICARE: INTERNAL MEDICINE OF CLEVELAND COUNTY,P.A.

MEDICARE: INTERNAL MEDICINE OF CLEVELAND COUNTY,P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology PhysicianNC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952393555
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERNAL MEDICINE OF CLEVELAND COUNTY,P.A.
Provider Business Mailing Address
First Line : 1405B N LAFAYETTE ST
Second Line :
City : SHELBY
State : NC
Zip : 28150-3406
Country : US
Telephone Number : 704-482-8936
Fax Number : 704-482-9683
Provider Business Practice Location Address
First Line : 1405B N LAFAYETTE ST
Second Line :
City : SHELBY
State : NC
Zip : 28150-3406
Country : US
Telephone Number : 704-482-8936
Fax Number : 704-482-9683
Authorized Official
Title or Position : PRESIDENT
Name : DR. DONALD S. MILLER
Credential : M.D.
Telephone Number : 704-482-8936
Provider Enumeration Date : 08/19/2005
Last Update Date : 07/21/2022

Similar Medicare Providers

1497747786 — DR. DONALD S. MILLER M.D.
Practice Location Address:
1405B N LAFAYETTE ST
SHELBY, NC
28150-3406
Practice Phone: 704-482-8936
Practice Fax: 704-482-9683
1093791352 — DR. NANCY ELLEN CLINE MD
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1942286018 — DR. STEPHEN J BOGAN M.D.
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Practice Location Address:
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1073575486 — EQUISTAT LLC
Practice Location Address:
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1194787317 — KAY B. YOUNG AU.D.
Practice Location Address:
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Directions to “INTERNAL MEDICINE OF CLEVELAND COUNTY,P.A. ” Practice Location

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