NPI 1134347958

Cleveland Medical Clinic PLLC

Organisation Family Medicine Physician Cleveland, MS

Practice location

Address: 810 E Sunflower Rd Suite 100a, Cleveland, MS 38732-2800
Phone: (662) 843-3606
Fax: (662) 846-1194
Mailing address: PO Box 1629, Cleveland, MS 38732-1629

Authorised official

Name: Tommicile Dean Rogers
Title: Administrator
Phone: (662) 843-3606

Registered specialties (2)

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Mississippi →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Mississippi →

Registry record

NPI: 1134347958
Entity type: Organization
NPI issued: 24 Apr 2007
Record last updated: 5 Feb 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.