Individual provider · NPI-1
Dr. George K Cleland
Respiratory Therapist, Registered, Neonatal/Pediatrics · Braselton, GA
NPI number1821613167
StatusActive
Last updated in NPPESJun 12, 2020
Details
- NPI
- 1821613167
- Entity type
- Individual (NPI-1)
- Name
- Dr. George K Cleland
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2020
- Certification date
- Jun 12, 2020
- Last updated
- Jun 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2279P3900X | Respiratory Therapist, Registered, Neonatal/Pediatrics | 7363 | GA | Yes |
| 2278P1006X | Respiratory Therapist, Certified, Pulmonary Function Technologist | 7363 | GA | |
| 227900000X | Respiratory Therapist, Registered | 2017031731 | MO | |
| 2279C0205X | Respiratory Therapist, Registered, Critical Care | 7363 | GA | |
| 2279E0002X | Respiratory Therapist, Registered, Emergency Care | 7363 | GA | |
| 2279G1100X | Respiratory Therapist, Registered, General Care | 7363 | GA | |
| 363A00000X | Physician Assistant | 790 | GA | |
| 363A00000X | Physician Assistant | 2019027227 | MO |
Practice location
1400 River PlBraselton, GA 30517-5600
Phone 770-870-0642
Mailing address
27 Pinetree CirValdosta, GA 31601-6256
Phone 706-215-5486
Other practice locations
1010 Prince Ave Ste 101
Athens, GA 30606-5810
Athens, GA 30606-5810
Phone 706-215-5486
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