| NPI | 1841852076 |
|---|---|
| Doing Business As | CLEAVER MEDICAL GROUP DERMATOLOGY INC |
| 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 | 2022-05-24 |