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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 Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for IDEA BODY INSTITUTE ATLANTA ASC

NPI Number 1285265546
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
GA Medicaid 1558539155
GA Medicaid 1992981302
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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