| Idea Body Institute Atlanta Asc | |
|
371 E Paces Ferry Rd Ne Ste 450 Atlanta GA 30305-3292 | |
| (678) 466-6760 | |
| Not Available |
| Full Name | Idea Body Institute Atlanta Asc |
|---|---|
| Speciality | General Practice |
| Location | 371 E Paces Ferry Rd Ne Ste 450, Atlanta, Georgia |
| Authorized Official Name and Position | Natasha Lindsay (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6784666760 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idea Body Institute Atlanta Asc 371 E Paces Ferry Rd Ne Ste 450 Atlanta GA 30305-3292 Ph: (678) 466-6760 | Idea Body Institute Atlanta Asc 371 E Paces Ferry Rd Ne Ste 450 Atlanta GA 30305-3292 Ph: (678) 466-6760 |
| NPI Number | 1285265546 |
|---|---|
| Provider Enumeration Date | 01/27/2020 |
| Last Update Date | 02/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285265546 | NPI | - | NPPES |
| 1992981302 | Medicaid | GA | |
| 1558539155 | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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