Individual
JAMES WILLIAM CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 TOWN CENTER PKWY # 314, RESTON, VA 20190-3219
(703) 481-5212
Mailing address
1850 TOWN CENTER PKWY # 314, RESTON, VA 20190-3219
(703) 481-5212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101044465
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200459
BC BS PROVIDER NUMBER
VA
Enumeration date
03/30/2007
Last updated
07/09/2007
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