Search › Georgia › 363LA2200X
Ivy Cleveland, NP
NPI 1801034731 · on the registry since 2009
Practice
- Address
- 2429 Main St E
Snellville, GA 30078 - Phone
- (404) 576-8680
- Organisation at this address
- Anu Glo Med Spa, Llc.
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1670 Clairmont Road, Decatur, GA
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 163W00000X
163W00000X
363LA2100X
363LG0600X - Licence states on file
- PA, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia