NORTHLAKE INTERNAL MEDICINE

TUCKER, GA
NPI1710286414
Entity TypeOrganization
Authorized ContactJOHN WILLIAM BUDELL
Owner
770-496-2929
Organization Subpart ?No
Primary Taxonomy261QM2500X Clinic/Center, Medical Specialty
(Licence: GA  017369)
Enumeration Date2011-03-21
Last Update Date2011-03-21
Business Address
NORTHLAKE INTERNAL MEDICINE
2175 NORTHLAKE PKWY ST 142,BLDG 4
TUCKER, GA 30084-4163
Phone number: 770-496-2929
Mailing Address
NORTHLAKE INTERNAL MEDICINE
2175 NORTHLAKE PKWY ST 142,BLDG 4
TUCKER, GA 30084-4163
Phone number: 770-496-2929