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1922038066
CLEVELAND MEDICAL ASSOCIATES
KINGS MOUNTAIN, NC
NPI
1922038066
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Entity Type
Organization
Authorized Contact
DANIEL L WIENS
Senior Vice President
704-355-0648
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-07-04
Last Update Date
2009-11-06
Business Address
CLEVELAND MEDICAL ASSOCIATES
608 W KING ST PROF BUILDING 2
KINGS MOUNTAIN, NC 28086-3358
Phone number: 704-734-5129
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Mailing Address
CLEVELAND MEDICAL ASSOCIATES
PO BOX 60061
CHARLOTTE, NC 28260-0061
Phone number: 704-734-5129
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