NPI | 1285265546 |
---|---|
Doing Business As | IDEA BODY INSTITUTE ATLANTA ASC |
Entity Type | Organization |
Authorized Contact | NATASHA LINDSAY Credentialing Coordinator 678-466-6760 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2020-01-27 |
Last Update Date | 2020-02-17 |