Northlake Family Medicine

LBN: Northlake Family Medicine
Northlake Family Medicine is an health care organization with primary practice located at 2130 Lavista Exec Park Dr , Tucker GA 30084-5421. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Northlake Family Medicine can be contacted via phone (770) 493-1800, or through Singh, Inder Paul via phone (770) 493-1800.

Contact Information

Primary practice address
2130 Lavista Exec Park Dr Tucker GA 30084-5421
Phone: (770) 493-1800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Singh, Inder Paul Doctor of Medicine (MD)
Phone: (770) 493-1800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 040551 Georgia

Profile Details

NPI number 1184827917
LBN Legal business name Northlake Family Medicine
DBA Doing business as
Authorized official Singh, Inder Paul Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2007
Last updated Feb 10th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184827917 NPPES
Georgia MEDICAID 000676574B
Georgia MEDICAID 000835095A

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