| NPI | 1235371832 |
|---|---|
| Doing Business As | BODYLOGICMD OR ATLANTA/ BUCKHEAD |
| Entity Type | Organization |
| Authorized Contact | JEFF DONOHUE Director 866-460-3246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA 46540) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |