| NPI | 1891705133 |
|---|---|
| Doing Business As | CLEVELAND MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TOMMICILE C ROGERS Office Manager 662-843-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |