Northlake Internal Medicine

LBN: Northlake Internal Medicine
Northlake Internal Medicine is an health care organization with primary practice located at 2175 Northlake Pkwy St 142,Bldg 4, Tucker GA 30084-4163. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Northlake Internal Medicine can be contacted via phone (770) 496-2929, or through Budell, John William via phone (770) 496-2929.

Contact Information

Primary practice address
2175 Northlake Pkwy St 142,Bldg 4 Tucker GA 30084-4163
Phone: (770) 496-2929
Fax: (770) 496-2930
Website:
Map and Directions
Authorized official contact:
Name: Budell, John William Doctor of Medicine (MD)
Phone: (770) 496-2929

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 017369 Georgia

Profile Details

NPI number 1710286414
LBN Legal business name Northlake Internal Medicine
DBA Doing business as
Authorized official Budell, John William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2011
Last updated Mar 21st, 2011 - about 13 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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