Organization
BODY LOGIC OF ATLANTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREE NECOLE MATTHEWS (BILLING MANAGER)
(678) 613-2971
Entity
Organization
Contact information
Practice address
2941 PIEDMONT RD NE, SUITE C, ATLANTA, GA 30305-2784
(404) 608-0376
Mailing address
2941 PIEDMONT RD NE, SUITE C, ATLANTA, GA 30305-2784
(404) 608-0376
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
46540
GA
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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