# IDEA BODY INSTITUTE ATLANTA ASC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GEORGIA SURGICARE
- **Other names:** Idea Body Institute Atlanta ASC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1285265546
- **Legal business name:** GEORGIA SURGICARE
- **Authorized official:** NATASHA LINDSAY (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (678) 466-6760

## Contact information

- **Practice address:** 371 E PACES FERRY RD NE STE 450, ATLANTA, GA 30305-3292
- **Practice address phone:** (678) 466-6760
- **Mailing address:** 371 E PACES FERRY RD NE STE 450, ATLANTA, GA 30305-3292
- **Mailing address phone:** (678) 466-6760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2020
- **Last updated:** 02/17/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1558539155 | — | GA |
| 05 | — | 1992981302 | — | GA |