Organization
FOUR CORNERS PRIMARY CARE CENTERS, INC.
Active
Parent organization
FOUR CORNERS PRIMARY CARE CENTERS, INC.
Other names
Four Corners Primary Care Centers, W Pike
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUR CORNERS PRIMARY CARE CENTERS, INC.
Authorized official
BRIAN ONEAL WILLIAMS MD (CEO)
(770) 279-3141
Entity
Organization
Contact information
Practice address
318 W PIKE ST STE 100, LAWRENCEVILLE, GA 30046-3234
(770) 806-2928
Mailing address
5300 OAKBROOK PKWY STE 130, NORCROSS, GA 30093-2261
(770) 279-3176
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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