Individual
DR. CHARLES ROUSE CLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
502 W KING ST # LL20, KINGS MOUNTAIN, NC 28086-3362
(704) 862-4700
(704) 862-4749
Mailing address
502 W KING ST STE LL20, KINGS MOUNTAIN, NC 28086-3362
(704) 862-4700
(704) 862-4749
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2012-00261
NC
208VP0000X
Pain Medicine Physician
Primary
2012-00261
NC
208VP0014X
Interventional Pain Medicine Physician
2012-00261
NC
Other
Enumeration date
06/21/2010
Last updated
06/02/2025
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