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Idea Body Institute Atlanta Asc
General Practice Physician in Atlanta, Georgia
NPI 1285265546

Idea Body Institute Atlanta Asc is a General Practice Physician based in Atlanta, GA. Idea Body Institute Atlanta Asc practices in Atlanta, GA. The NPI Number for Idea Body Institute Atlanta Asc is 1285265546 and holds a License No. (Georgia).

The current practice location address for Idea Body Institute Atlanta Asc is 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA and can be reached out via phone at 678-466-6760.

Location: 371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA, 30305-3292
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285265546
Provider Name
Idea Body Institute Atlanta Asc
Credential
Provider Entity Type
Organization
Address
371 E Paces Ferry Rd Ne Ste 450, Atlanta, GA, 30305-3292
Phone Number
678-466-6760
Fax Number
Provider Enumeration Date
01/27/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1992981302 05 GA
1558539155 05 GA
institution
Provider Business Practice Location Address Details
Address
371 E Paces Ferry Rd Ne Ste 450
City
Atlanta
State
Georgia
Zip
30305-3292
Phone Number
678-466-6760
Fax Number
person
Provider Business Mailing Address Details
Address
371 E Paces Ferry Rd Ne Ste 450
City
Atlanta
State
Georgia
Zip
30305-3292
Phone Number
678-466-6760
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
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