Cleaver Medical Group Surgery Center
LBN: Cleaver Medical Group Surgery Center
Cleaver Medical Group Surgery Center is an health care organization with primary practice located at 105 Professional Park Dr Ste 200 , Cumming GA 30040-2381. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Ambulatory Surgical. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty.
Cleaver Medical Group Surgery Center can be contacted via phone (770) 800-3455, or through Reed, Miranda L via phone (770) 800-3455.
Contact Information
Primary practice address
105 Professional Park Dr Ste 200
Cumming GA 30040-2381
Phone: (770) 800-3455
Fax: (770) 284-8380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | ||
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X |
Profile Details
| NPI number | 1164093068 |
|---|---|
| LBN Legal business name | Cleaver Medical Group Surgery Center |
| DBA Doing business as | |
| Authorized official | Reed, Miranda L Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 2nd, 2021 |
| Last updated | May 24th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164093068 | NPPES |
| Georgia | MEDICAID | ASTC001560 |
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