Organization
CLEVELAND MEDICAL CLINIC INC
Active
Parent organization
CLEVELAND MEDICAL CLINIC INC
Other names
Hospitalist
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLEVELAND MEDICAL CLINIC INC
Authorized official
DEBBIE BREWER (DIRECTOR)
(615) 465-7000
Entity
Organization
Contact information
Practice address
2305 CHAMBLISS AVE, CLEVELAND, TN 37320
(423) 559-6000
(423) 559-6653
Mailing address
7100 COMMERCE WAY, SUITE 180, BRENTWOOD, TN 37027-2829
(615) 465-7626
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710153
—
TN
05
—
840698446A
—
GA
Enumeration date
12/12/2006
Last updated
08/13/2008
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