Cleveland, Gregor G

Cleveland, Gregor G is an individual health care provider with primary practice located at 1303 Azalea Ct Suite C, Myrtle Beach SC 29577-5765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Cleveland, Gregor G can be contacted via phone (843) 692-0570.

Contact Information

Primary practice address
1303 Azalea Ct Suite C Myrtle Beach SC 29577-5765
Phone: (843) 692-0570
Fax: (843) 497-9566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 15902 South Carolina

Profile Details

NPI number 1942297635
LBN Legal business name Cleveland, Gregor G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Sep 13th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942297635 NPPES
South Carolina Other 60773 MEDCOST
South Carolina Other 05905 MEDCOST
South Carolina Other 154758900 MEDCOST
South Carolina Other 570525838 MEDCOST
South Carolina Other 890603R MEDCOST
South Carolina Other 300049800 MEDCOST
South Carolina MEDICAID 159027 MEDCOST
South Carolina Other 154758900 MEDCOST

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