Northlake Physician Practice Network, Inc.
NPI #1730110131 in Tucker, Georgia
Provider Information
- NPI Number
- 1730110131
- Entity Type
- Organization
- Organization Name
- Northlake Physician Practice Network, Inc.
- Primary Specialty
- Obstetrics & Gynecology - Gynecologic Oncology
- Enumeration Date
- Jul 5, 2006
- Last Updated
- Aug 29, 2007
Practice Location
Authorized Official
- Name
- MARK PICKETT
- Title
- VP
- Phone
- (770) 938-3440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology - Gynecologic Oncology — Gynecologic Oncology |
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