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Individual

DR. NATHAN JEROME CLEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
105 PROFESSIONAL PARK DR, CUMMING, GA 30040-2381
(770) 800-3455
(770) 800-3455
Mailing address
59 TIPTON DR, DAHLONEGA, GA 30533-1603
(770) 800-3455
(770) 450-8024

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
2015008267
MO
207N00000X
Dermatology Physician
Primary
76962
GA
207ND0101X
MOHS-Micrographic Surgery Physician
76962
GA
207ND0900X
Dermatopathology Physician
76962
GA

Other

Enumeration date
04/06/2011
Last updated
12/02/2025
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