Organization
NORTHLAKE URGENT CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA LATANYA WALKER MD (CEO)
(404) 231-7643
Entity
Organization
Contact information
Practice address
4060 LAVISTA RD, TUCKER, GA 30084-5216
(404) 231-7643
(404) 237-1764
Mailing address
4060 LAVISTA RD, TUCKER, GA 30084-5216
(404) 231-7643
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2019
Last updated
12/29/2022
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