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Northlake Internal Medicine
Medical Specialty Clinic/Center in Tucker, Georgia
NPI 1710286414

Northlake Internal Medicine is a Medical Specialty Clinic/Center based in Tucker, GA and is specialized in Medical Specialty. Northlake Internal Medicine practices in Tucker, GA. The NPI Number for Northlake Internal Medicine is 1710286414 and holds a License No. 017369 (Georgia).

The current practice location address for Northlake Internal Medicine is 2175 Northlake Pkwy, Tucker, GA and can be reached out via phone at 770-496-2929 and via fax at 770-496-2930.

Location: 2175 Northlake Pkwy, Tucker, GA, 30084-4163
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710286414
Provider Name
Northlake Internal Medicine
Credential
Provider Entity Type
Organization
Address
2175 Northlake Pkwy, Tucker, GA, 30084-4163
Phone Number
770-496-2929
Fax Number
770-496-2930
Provider Enumeration Date
03/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2175 Northlake Pkwy
City
Tucker
State
Georgia
Zip
30084-4163
Phone Number
770-496-2929
Fax Number
770-496-2930
person
Provider Business Mailing Address Details
Address
2175 Northlake Pkwy
City
Tucker
State
Georgia
Zip
30084-4163
Phone Number
770-496-2929
Fax Number
770-496-2930
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
017369 (Georgia)
Definition
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).
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