Individual
DR. GEORGE K CLELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 RIVER PL, BRASELTON, GA 30517-5600
(770) 870-0642
Mailing address
27 PINETREE CIR, VALDOSTA, GA 31601-6256
(706) 215-5486
Taxonomy
Speciality
Code
Description
License number
State
2278P1006X
Pulmonary Function Technologist Certified Respiratory Therapist
7363
GA
227900000X
Registered Respiratory Therapist
2017031731
MO
2279C0205X
Critical Care Registered Respiratory Therapist
7363
GA
2279E0002X
Emergency Care Registered Respiratory Therapist
7363
GA
2279G1100X
General Care Registered Respiratory Therapist
7363
GA
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
7363
GA
363A00000X
Physician Assistant
2019027227
MO
363A00000X
Physician Assistant
790
GA
Other
Enumeration date
06/12/2020
Last updated
06/12/2020
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