NORTHLAKE INTERNAL MEDICINE is a medical specialty clinic center in Tucker, GA. The provider is 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). NORTHLAKE INTERNAL MEDICINE NPI is 1710286414. The provider is registered as an organization entity type.
The provider's business location address is:
2175 NORTHLAKE PKWY
ST 142,BLDG 4
TUCKER, GA
ZIP 30084-163
Phone: (770) 496-2929
Fax: (770) 496-2930
The provider's authorized official is John William Budell .
The authorized official title is Owner and has the following contact phone number (770) 496-2929.
The enumeration date for this NPI number is 3/21/2011 and was last updated on 3/21/2011.