Organization
CLJ HEALTHCARE, LLC
Active
Other names
Opulence Aesthetic Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEDRA REGINA DODDS M.D. (PHYSICIAN/OWNER)
(770) 591-3429
Entity
Organization
Contact information
Practice address
6572 HIGHWAY 92, SUITE 200, ACWORTH, GA 30102-7562
(770) 591-3429
Mailing address
6572 HIGHWAY 92, SUITE 200, ACWORTH, GA 30102-7562
(770) 591-3429
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
039170
GA
Other
Enumeration date
09/09/2008
Last updated
09/09/2008
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