A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] |
| NPI Number | 1285265546 |
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| LBN Legal business name | IDEA BODY INSTITUTE ATLANTA ASC | ||||||||
| Authorized official | NATASHA LINDSAY - (CREDENTIALING COORDINATOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | Yes | ||||||||
| Enumeration date | 01/27/2020 | ||||||||
| Last updated | 02/17/2020 - About 6 years ago | ||||||||
| Identifiers |
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