Organization · Type 2 NPI

Idea Body Institute Atlanta Asc

General Practice Physician · Atlanta, GA

NPI number 1285265546 Active

Practice location

371 E Paces Ferry Rd NE Ste 450
Atlanta, GA 30305-3292

Call (678) 466-6760 Map

Other practice locations

367 Athens Hwy Ste 100, Loganville, GA 30052-2207 · (678) 466-6760

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	None listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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NPI record

NPI: 1285265546
Entity type: Organization (Type 2)
Issued: Jan 27, 2020
Last updated: Feb 17, 2020
Status: Active
Subpart: Yes of Georgia Surgicare

Other names

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Idea Body Institute Atlanta Asc · doing business as

Authorized official

Natasha Lindsay
Credentialing Coordinator
(678) 466-6760

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285265546

Idea Body Institute Atlanta Asc's National Provider Identifier is 1285265546, issued on Jan 27, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Atlanta, GA. The record was last updated on Feb 17, 2020.