Jack Wilson Cleland
M.D. | Pediatrics | Male
Jack Wilson Cleland, M.D. is a Spartanburg, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Jack Wilson Cleland is
1330 Boiling Springs Rd, Suite 1300, Spartanburg, South Carolina - 29303-4201. He can be contacted on phone at
864-560-6345 and fax number 864-560-6054.
Jack Wilson Cleland is a sole proprietor of his business.
NPI number (Unique professional ID) for Jack Wilson Cleland is
1912166315 which was assigned by NPPES on 02 Jun, 2008 and it was last updated on 11 Dec, 2020.
Jack Wilson Cleland license number is
30778 for Pediatrics (208000000X) in South Carolina.
Jack Wilson Cleland is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jack Wilson Cleland basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Jack Wilson Cleland |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Jack Wilson Cleland address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1330 Boiling Springs Rd, Suite 1300
Spartanburg, SC, 29303-4201
United States |
|---|
| Phone Number : | 864-560-6345 |
|---|
| Fax Number : | 864-560-6054 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1912166315 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 02 Jun, 2008 |
|---|
| Last Updated On : | 11 Dec, 2020 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack Wilson Cleland are as mentioned. Primary taxonomy code for Jack Wilson Cleland, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 30778 | SC |
| 208000000X | Pediatrics | No | LL30778 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Jack Wilson Cleland such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 307787 | MEDICAID | SC | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | jcleland40508@direct-srhs.et0939.epichosted.com
| No affiliation | DIRECT
Direct
| OTHER
Other
jcleland40508@direct-srhs.et0939.epichosted.com | 1330 BOILING SPRINGS RD, SUITE 1300
SPARTANBURG, SC, 29303-4201
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 743070
Atlanta, GA, 30374-3070
United States |
|---|
| Phone Number : | 864-560-4304 |
|---|
| Fax Number : | 864-560-4413 |
|---|
Business Location:
Patients can refer following map for directions to
Jack Wilson Cleland practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.