| Cleveland Health Ventures Llc | |
|
3420 Filbert Hwy Clover SC 29710-5602 | |
| (803) 222-0600 | |
| (803) 222-6119 |
| Full Name | Cleveland Health Ventures Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3420 Filbert Hwy, Clover, South 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 Health Ventures Llc Po Box 601544 Charlotte NC 28260-1544 Ph: (803) 222-0600 | Cleveland Health Ventures Llc 3420 Filbert Hwy Clover SC 29710-5602 Ph: (803) 222-0600 |
| NPI Number | 1225205800 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 10/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225205800 | NPI | - | NPPES |
| GP4970 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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