National Provider Identifier Database

IDEA BODY INSTITUTE ATLANTA ASC
General Practice

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


Contact Information

IDEA BODY INSTITUTE ATLANTA ASC
371 E PACES FERRY RD NE STE 450
ATLANTA, GA30305-3292
Phone: 678-466-6760
Fax:
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for IDEA BODY INSTITUTE ATLANTA ASC

NPI Number 1285265546
Legal business name
LBN
IDEA BODY INSTITUTE ATLANTA ASC
Authorized official NATASHA LINDSAY - (CREDENTIALING COORDINATOR)
Entity Organization
Organization subpart Yes
Enumeration date 01/27/2020
Last updated 02/17/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 1558539155
  • GA Medicaid: 1992981302

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for IDEA BODY INSTITUTE ATLANTA ASC

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