NPI | 1841852076 |
---|---|
Doing Business As | CLEAVER MEDICAL GROUP DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | ASHLEY N DORSEY Practice Administrator 770-746-6380 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
207ND0900X Dermatology, Dermatopathology | |
Enumeration Date | 2019-07-09 |
Last Update Date | 2024-06-20 |