Individual
DR. GREGOR G CLEVELAND
Active
Individual
DR. GREGOR G CLEVELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15902
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05905
BCBS OF NC
NC
01
—
154758900
FEDERAL BLACK LUNG
SC
05
—
159027
—
SC
01
—
300049800
RAILROAD MEDICARE
SC
01
—
570525838
STANDARD TAX ID
SC
01
—
60773
MEDCOST
SC
01
—
890603R
MEDICAID OF NC
NC
Enumeration date
09/29/2005
Last updated
09/13/2016
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