Provider Demographics
NPI:1477364461
Name:ATLANTA BODY CARE, LLC
Entity type:Organization
Organization Name:ATLANTA BODY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:NMD
Authorized Official - Phone:770-355-8352
Mailing Address - Street 1:803 SWEET APPLE CIR
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-6658
Mailing Address - Country:US
Mailing Address - Phone:770-355-8352
Mailing Address - Fax:
Practice Address - Street 1:500 SUN VALLEY DR STE D1
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-5636
Practice Address - Country:US
Practice Address - Phone:770-355-8352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-17
Last Update Date:2025-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center