Provider Demographics
NPI:1063229466
Name:CJC HEALTH SOLUTIONS, LLC
Entity type:Organization
Organization Name:CJC HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CERINENA
Authorized Official - Middle Name:COLINE
Authorized Official - Last Name:REDMAN-MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:770-309-9489
Mailing Address - Street 1:2311 HENRY CLOWER BLVD STE E
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7418
Mailing Address - Country:US
Mailing Address - Phone:678-904-4251
Mailing Address - Fax:678-904-4759
Practice Address - Street 1:2311 HENRY CLOWER BLVD STE E
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-7418
Practice Address - Country:US
Practice Address - Phone:678-904-4251
Practice Address - Fax:678-904-4759
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-18
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty