# NORTH SUNFLOWER MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cleveland Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891705133
- **Authorized official:** MR. TOMMICILE C ROGERS (OFFICE MANAGER)
- **Authorized official phone:** (662) 843-3606

## Contact information

- **Practice address:** 810 E SUNFLOWER RD, SUITE 100-A, CLEVELAND, MS 38732-2800
- **Practice address phone:** (662) 843-3606
- **Practice address fax:** (662) 846-1194
- **Mailing address:** 810 E SUNFLOWER RD, SUITE 100-A, CLEVELAND, MS 38732-2800
- **Mailing address phone:** (662) 843-3606
- **Mailing address fax:** (662) 846-1194

## Taxonomy

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

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 08/22/2020