| Northlake Multispecialty Associates Llc | |
|
1459 Montreal Rd Suite 304 Tucker GA 30084-6900 | |
| (770) 908-4444 | |
| (770) 908-4400 |
| Full Name | Northlake Multispecialty Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1459 Montreal Rd, Tucker, Georgia |
| Authorized Official Name and Position | Chuck Locke (VP) |
| Authorized Official Contact | 6153737604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northlake Multispecialty Associates Llc 1459 Montreal Rd Suite 304 Tucker GA 30084-6900 Ph: (770) 908-4444 | Northlake Multispecialty Associates Llc 1459 Montreal Rd Suite 304 Tucker GA 30084-6900 Ph: (770) 908-4444 |
| NPI Number | 1124066261 |
|---|---|
| Provider Enumeration Date | 06/02/2006 |
| Last Update Date | 08/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124066261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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