Organization
CLEAVER MEDICAL GROUP SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA L REED DO (OWNER)
(770) 872-6179
Entity
Organization
Contact information
Practice address
105 PROFESSIONAL PARK DR STE 200, CUMMING, GA 30040-2381
(770) 800-3455
(770) 284-8380
Mailing address
105 PROFESSIONAL PARK DR STE 200, CUMMING, GA 30040-2381
(770) 872-6179
(678) 302-6127
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASTC001560
—
GA
Enumeration date
07/02/2021
Last updated
12/02/2025
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