Cleaveland J Teal


Address: 431 W Memorial Dr, Dallas, GA 30132-1394

Cleaveland J Teal (NPI# 1609102995, PAC ID# 4385773886) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1609102995
PAC ID by PECOS 4385773886
Professional Enrollment ID I20100521000025
Full Name Cleaveland J Teal
Address 431 W Memorial Dr
Dallas
GA 30132-1394
Gender M
Medical School LIFE CHIROPRACTIC COLLEGE
Graduation Year 1979
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
431 W Memorial Dr, Dallas, GA 30132-1394

Organization Information

Office Location

Street Address 431 W MEMORIAL DR
City DALLAS
State GA
Zip 30132-1394

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Competitor

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City DALLAS
Zip Code 30132
Specialty CHIROPRACTIC
City + Specialty DALLAS + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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