# BODY LOGIC OF ATLANTA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740724848
- **Authorized official:** MRS. ANDREE NECOLE MATTHEWS (BILLING MANAGER)
- **Authorized official phone:** (678) 613-2971

## Contact information

- **Practice address:** 2941 PIEDMONT RD NE, SUITE C, ATLANTA, GA 30305-2784
- **Practice address phone:** (404) 608-0376
- **Mailing address:** 2941 PIEDMONT RD NE, SUITE C, ATLANTA, GA 30305-2784
- **Mailing address phone:** (404) 608-0376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 46540 | GA | Yes |

## Other

- **Enumeration date:** 12/07/2016
- **Last updated:** 12/07/2016