Minnie Maxine Cleveland in Columbia - Diabetes Educator

Minnie Maxine Cleveland - NPI 1104950088

Minnie Maxine Cleveland is a Diabetes Educator in Columbia, South Carolina. Minnie Maxine Cleveland practices all healthcare services and medical treatments related to Diabetes Educator. The NPI Number for Minnie Maxine Cleveland is 1104950088. The last update date is 2007-07-09.

Minnie Maxine Cleveland's current location address is 5 Richland Medical Park Dr, Columbia, South Carolina. You can contact this provider via phone number 8034347027 and fax number 8034341239. The mailing address for Minnie Maxine Cleveland is 5 Richland Medical Park Dr, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Minnie Maxine Cleveland
Address 5 Richland Medical Park Dr, Columbia, South Carolina
Phone Number 8034347027
Fax Number 8034341239
Sole Proprietor Y
Credentials RN

NPI Number Detail

NPI Number 1104950088
Provider Enumeration Date 2007-03-15
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 5 Richland Medical Park Dr
City Columbia
State South Carolina (SC)
Post Code 292036863
Phone Number 8034347027
Fax Number 8034341239

Provider's Primary Taxonomy Detail

Speciality Diabetes Educator
Taxonomy 163Wd0400X
Licence No R41003
Definition:
A registered nurse who teaches diabetes self-management skills.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DPE012 SC --

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FAQs about Minnie Maxine Cleveland

What is the unique 10-digit identification code issued to Minnie Maxine Cleveland by the Centers for Medicare & Medicaid Services?

The Minnie Maxine Cleveland has been assigned the NPI (National Provider Identifier) 1104950088 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Minnie Maxine Cleveland's facilities are situated?

The facilities of Minnie Maxine Cleveland are physically located at the following address: 5 Richland Medical Park Dr, Columbia, SC, 292036863.

What is Minnie Maxine Cleveland's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Minnie Maxine Cleveland's specialized field of practice is Diabetes Educator, and the corresponding taxonomy code that categorizes this area of specialization is 163Wd0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104950088 to Minnie Maxine Cleveland?

The Centers for Medicare & Medicaid Services assigned the 1104950088 to Minnie Maxine Cleveland on 2007-03-15.

As of what date were the details pertaining to Minnie Maxine Cleveland last refreshed?

The information related to the Minnie Maxine Cleveland, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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