NPI 1164476123

Northlake Medical Center, LLC

Organisation Rehabilitation Hospital Unit Tucker, GA

Practice location

Address: 1455 Montreal Rd, Tucker, GA 30084-8100
Phone: (770) 270-3000
Fax: (770) 270-3199

Authorised official

Name: Michael Gordian
Title: Cfo
Phone: (770) 270-3010

Registered specialties

Rehabilitation Hospital Unit Primary

Hospital Units Taxonomy 273Y00000X

Other Rehabilitation Unit providers in Georgia →

Registry record

NPI: 1164476123
Entity type: Organization
NPI issued: 22 May 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.