| Cleveland Endocrinology | |
|
510 W King St Suite C Kings Mountain NC 28086-3310 | |
| (980) 487-2270 | |
| (704) 734-0379 |
| Full Name | Cleveland Endocrinology |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 510 W King St, Kings Mountain, North Carolina |
| Authorized Official Name and Position | Daniel L Wiens (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7043550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Endocrinology Po Box 601884 Charlotte NC 28260-1884 Ph: (980) 487-2270 | Cleveland Endocrinology 510 W King St Suite C Kings Mountain NC 28086-3310 Ph: (980) 487-2270 |
| NPI Number | 1124255047 |
|---|---|
| Provider Enumeration Date | 06/18/2009 |
| Last Update Date | 01/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124255047 | NPI | - | NPPES |
| NPB319 | Medicaid | SC | |
| 5913029 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
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