Organization
FOUR CORNERS PRIMARY CARE CENTERS INC
Active
Other names
Four Corners @ VPH
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN O. WILLIAMS M.D. (CEO)
(770) 279-3140
Entity
Organization
Contact information
Practice address
5300 OAKBROOK PKWY, SUITE 130, NORCROSS, GA 30093-2256
(770) 279-3142
(770) 234-5210
Mailing address
5300 OAKBROOK PKWY, SUITE 130, NORCROSS, GA 30093-2256
(770) 279-3142
(770) 234-5210
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162765396A
—
GA
Enumeration date
08/10/2007
Last updated
09/01/2016
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