Individual
JAMES KEVIN CLEVINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
2001 E 7TH ST, CHARLOTTE, NC 28204-3311
(704) 334-1860
(704) 347-2785
Mailing address
9903 SHELLVIEW LN, CHARLOTTE, NC 28214-1076
(980) 275-0491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/19/2008
Last updated
11/19/2008
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