# CLJ HEALTHCARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Opulence Aesthetic Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275781759
- **Authorized official:** DR. NEDRA REGINA DODDS M.D. (PHYSICIAN/OWNER)
- **Authorized official phone:** (770) 591-3429

## Contact information

- **Practice address:** 6572 HIGHWAY 92, SUITE 200, ACWORTH, GA 30102-7562
- **Practice address phone:** (770) 591-3429
- **Mailing address:** 6572 HIGHWAY 92, SUITE 200, ACWORTH, GA 30102-7562
- **Mailing address phone:** (770) 591-3429

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 039170 | GA | Yes |

## Other

- **Enumeration date:** 09/09/2008
- **Last updated:** 09/09/2008