Organization
CMG- FAMILY MEDICINE OF CLEVELAND COUNTY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VALINDA L RUTLEDGE (PRESIDENT,CEO)
(704) 834-2133
Entity
Organization
Contact information
Practice address
807 SCHENCK ST # 3, SHELBY, NC 28150-3933
(704) 480-0222
(704) 480-6007
Mailing address
2240 REMOUNT RD, GASTONIA, NC 28054-4725
(704) 671-5311
(704) 671-5308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905777
—
NC
Enumeration date
01/11/2007
Last updated
04/12/2010
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