Provider Demographics
NPI:1588607493
Name:CLEVELAND, WILLIAM H II (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:H
Last Name:CLEVELAND
Suffix:II
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3620 M L KING JR DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-3711
Mailing Address - Country:US
Mailing Address - Phone:404-696-7300
Mailing Address - Fax:404-699-3514
Practice Address - Street 1:3620 M L KING JR DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-3711
Practice Address - Country:US
Practice Address - Phone:404-696-7300
Practice Address - Fax:404-699-3514
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA017375207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000164623IMedicaid
GA3104370OtherUNITED HEALTH CARE
GA000164623BMedicaid
GA000164623KMedicaid
GA000164623PMedicaid
GA1627150OtherCIGNA
GA505393OtherAETNA
GA000164623GMedicaid
GA000164623OMedicaid
GA000164623FMedicaid
GA000164623LMedicaid
GA000164623JMedicaid
GA000164623MMedicaid
GA143929OtherBCBS
GA406391092OtherRAILROAD MEDICARE
GA000164623HMedicaid
GA000164623NMedicaid
GA000164623BMedicaid
GA406391092Medicare PIN