TERESA CLEAVES

JONESBORO, GA
NPI1013154483
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: GA  03012108)
Enumeration Date2009-01-07
Last Update Date2009-01-07
Business Address
-- TERESA CLEAVES CSA
804 RIVER MIST DR
JONESBORO, GA 30238-5748
Phone number: 770-985-4257
Mailing Address
-- TERESA CLEAVES CSA
804 RIVER MIST DR
JONESBORO, GA 30238-5748
Phone number: 770-985-4257