| NPI | 1063596757 |
|---|---|
| Doing Business As | CLEVELAND FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | SCOTT NELSON Owner 662-721-1399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |