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Organization
IDEA BODY INSTITUTE ATLANTA ASC
Active
Organization
IDEA BODY INSTITUTE ATLANTA ASC
Active
Parent organization
GEORGIA SURGICARE
Other names
Idea Body Institute Atlanta ASC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA SURGICARE
Authorized official
NATASHA LINDSAY (CREDENTIALING COORDINATOR)
(678) 466-6760
Entity
Organization
Contact information
Practice address
371 E PACES FERRY RD NE STE 450, ATLANTA, GA 30305-3292
(678) 466-6760
Mailing address
371 E PACES FERRY RD NE STE 450, ATLANTA, GA 30305-3292
(678) 466-6760
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558539155
—
GA
05
—
1992981302
—
GA
Enumeration date
01/27/2020
Last updated
02/17/2020
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