# FAMILY MEDICINE OF CLEVELAND COUNTY, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306894985
- **Authorized official:** MS. CAROL MCNEILLY (OFFICE MANAGER)
- **Authorized official phone:** (704) 480-0222

## Contact information

- **Practice address:** 807 - 3 SCHENCK STREET, SHELBY, NC 28150
- **Practice address phone:** (704) 480-0222
- **Practice address fax:** (704) 480-6007
- **Mailing address:** 807 - 3 SCHENCK STREET, SHELBY, NC 28150
- **Mailing address phone:** (704) 480-0222
- **Mailing address fax:** (704) 480-6007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8950540 | — | NC |