Northlake Internal Medicine
Northlake Internal Medicine is a Medical Specialty Clinic/Center in Tucker, Georgia. Licensed in Georgia. Registered with an NPI since 2011.
- Licensed in
- GA
- In the registry since
- 2011
Practice location Address checks out
2175 Northlake Pkwy St 142 Bldg 4Tucker, GA 30084-4163
Phone: (770) 496-2929
Fax: (770) 496-2930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Specialty Clinic/Center (primary) | Taxonomy 261QM2500X · Licence 017369 (GA) |
|---|
Record details
| NPI number | 1710286414 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Budell — Owner · (770) 496-2929 |
| NPI enumerated | March 21, 2011 |
| Last updated in NPPES | March 21, 2011 |
| Mailing address | 2175 Northlake Pkwy, St 142,Bldg 4, Tucker, GA 30084-4163 |
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-
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