NORTHLAKE PHYSICIAN PRACTICE NETWORK INC is a surgical oncology surgery in Tucker, GA. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. NORTHLAKE PHYSICIAN PRACTICE NETWORK INC NPI is 1285672220. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1459 MONTREAL RD 408 TUCKER, GA ZIP 30084-900 Phone: (770) 938-3440 Fax: (770) 938-3443
The provider's authorized official is Mark Pickett . The authorized official title is Vp and has the following contact phone number (678) 762-5037.
The enumeration date for this NPI number is 6/3/2006 and was last updated on 8/22/2020.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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