Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northlake Physician Practice Network, Inc

Organization Gynecologic Oncology Physician · NPI 1730110131

Northlake Physician Practice Network, Inc is a Gynecologic Oncology Physician in Tucker, Georgia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1459 Montreal Rd Ste 408
Tucker, GA 30084-6900
Phone: (770) 938-3440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gynecologic Oncology Physician (primary) Taxonomy 207VX0201X

Record details

NPI number1730110131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Pickett — Vp · (770) 938-3440
Other names Women'S Cancer Alliance
NPI enumeratedJuly 5, 2006
Last updated in NPPESAugust 29, 2007
Mailing address1459 Montreal Rd, Suite 408, Tucker, GA 30084-6900