Cleaver Medical Group Surgery Center
Clinic/Center, Ambulatory Surgical in Cumming, GA. Organization (NPI-2).
NPI number1164093068
StatusActive
Last updated in NPPESDec 2, 2025
Details
- NPI
- 1164093068
- Entity type
- Organization (NPI-2)
- Legal business name
- Cleaver Medical Group Surgery Center
- Organization subpart
- No
- Enumeration date
- Jul 2, 2021
- Certification date
- Dec 2, 2025
- Last updated
- Dec 2, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | – | – | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – |
Practice location
105 Professional Park Dr Ste 200Cumming, GA 30040-2381
Phone 770-800-3455 · Fax 770-284-8380
Mailing address
105 Professional Park Dr Ste 200Cumming, GA 30040-2381
Phone 770-872-6179 · Fax 678-302-6127
Authorized official
Miranda L Reed
Owner
7708726179
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