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1285672220
NORTHLAKE PHYSICIAN PRACTICE NETWORK INC
TUCKER, GA
NPI
1285672220
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Entity Type
Organization
Authorized Contact
MARK PICKETT
VP
678-762-5037
Organization Subpart ?
No
Primary Taxonomy
2086X0206X Surgery, Surgical Oncology
Enumeration Date
2006-06-03
Last Update Date
2020-08-22
Business Address
NORTHLAKE PHYSICIAN PRACTICE NETWORK INC
1459 MONTREAL RD 408
TUCKER, GA 30084-6900
Phone number: 770-938-3440
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Mailing Address
NORTHLAKE PHYSICIAN PRACTICE NETWORK INC
1459 MONTREAL RD 408
TUCKER, GA 30084-6900
Phone number: 770-938-3440
Copy
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