Organization · Type 2 NPI
Northlake Internal Medicine
Medical Specialty Clinic/Center · Tucker, GA
Practice location
2175 Northlake Pkwy, St 142,BLDG 4
Tucker, GA 30084-4163
Fax (770) 496-2930
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 017369 (GA) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4 other providers at this address
- L&r Imaging Inc.Magnetic Resonance Imaging (MRI) Clinic/Center Tucker, GA NPI 1932473998
- Arlene Janet Wice, MED MAMarriage & Family Therapist Tucker, GA NPI 1528146057
- Cheryl Amyle Johnson Ransaw, L.C.S.W., C.E.A.P.Clinical Social Worker Tucker, GA NPI 1477847424
- John William Budell, MDInternal Medicine Physician Tucker, GA NPI 1972547198
Other medical specialty clinic/center providers in Tucker
About NPI 1710286414
Northlake Internal Medicine's National Provider Identifier is 1710286414, issued on Mar 21, 2011. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Tucker, GA. The record was last updated on Mar 21, 2011.