Organization
NORTHLAKE MEDICAL CENTER, LLC
Active
Other names
NORTHLAKE MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL GORDIAN (CFO)
(770) 270-3010
Entity
Organization
Contact information
Practice address
1455 MONTREAL RD, TUCKER, GA 30084-8100
(770) 270-3000
(770) 270-3199
Mailing address
1455 MONTREAL RD, TUCKER, GA 30084-8100
(770) 270-3000
(770) 270-3199
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
08/22/2020
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