Organization
M&M SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA CLEAVES CSA (OWNER, PRESIDENT)
(404) 671-9556
Entity
Organization
Contact information
Practice address
804 RIVER MIST DR, JONESBORO, GA 30238-5748
(404) 671-9556
(888) 265-5564
Mailing address
804 RIVER MIST DR, JONESBORO, GA 30238-5748
(404) 671-9556
(888) 265-5564
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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