| Opulence Aesthetic Medicine | |
|
6572 Highway 92 Suite 200 Acworth GA 30102-7562 | |
| (770) 591-3429 | |
| Not Available |
| Full Name | Opulence Aesthetic Medicine |
|---|---|
| Speciality | General Practice |
| Location | 6572 Highway 92, Acworth, Georgia |
| Authorized Official Name and Position | Nedra Regina Dodds (PHYSICIAN/OWNER) |
| Authorized Official Contact | 7705913429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opulence Aesthetic Medicine 6572 Highway 92 Suite 200 Acworth GA 30102-7562 Ph: (770) 591-3429 | Opulence Aesthetic Medicine 6572 Highway 92 Suite 200 Acworth GA 30102-7562 Ph: (770) 591-3429 |
| NPI Number | 1275781759 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 09/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275781759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 039170 (Georgia) | Primary |
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