Northlake Multispecialty Associates LLC

NPI #1124066261 in Tucker, Georgia

Provider Information

NPI Number: 1124066261
Entity Type: Organization
Organization Name: Northlake Multispecialty Associates LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 2, 2006
Last Updated: Aug 29, 2007

Practice Location

Address: 1459 MONTREAL RD
Address 2: SUITE 304
City: Tucker
State: Georgia
ZIP Code: 30084-6900
Phone: (770) 908-4444

Authorized Official

Name: CHUCK LOCKE
Title: VP
Phone: (615) 373-7604

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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