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Organization

CLEVELAND HEALTH VENTURES LLC

Active
Parent organization
CLEVELAND HEALTH VENTURES LLC
Other names
Shelby Women's Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
CLEVELAND HEALTH VENTURES LLC
Authorized official
DANIEL L WIENS (SENIOR VICE PRESIDENT OPERATIONS)
(704) 355-0648
Entity
Organization

Contact information

Practice address
110 W GROVER ST, SHELBY, NC 28150-3825
(704) 487-5258
(704) 487-0186
Mailing address
PO BOX 601884, CHARLOTTE, NC 28260-1884
(704) 487-5258
(704) 487-0186

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
03/12/2010
Last updated
01/25/2013
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