| NPI | 1164476123 |
|---|---|
| Doing Business As | NORTHLAKE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL GORDIAN CFO 770-270-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-08-22 |