Organization
FOUR CORNERS PRIMARY CARE CENTERS, INC.
Active
Parent organization
FOUR CORNERS PRIMARY CARE CENTERS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUR CORNERS PRIMARY CARE CENTERS INC
Authorized official
BRIAN WILLIAMS MD (CEO)
(770) 279-3141
Entity
Organization
Contact information
Practice address
5300 OAKBROOK PKWY STE 130, NORCROSS, GA 30093-2261
(770) 279-3144
Mailing address
5300 OAKBROOK PKWY STE 130, NORCROSS, GA 30093-2261
(770) 279-3144
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHRE010360
GA
Other
Enumeration date
09/26/2017
Last updated
07/21/2022
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