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Organization

FOUR CORNERS PRIMARY CARE CENTERS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRIAN WILLAMS MD (CEO)
(770) 806-2928
Entity
Organization

Contact information

Practice address
115 TOWNE CENTER PKWY, SUITE 113, HOSCHTON, GA 30548-2213
(770) 806-2928
Mailing address
5300 OAKBROOK PKWY, SUITE 130, NORCROSS, GA 30093-2256

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
03/22/2016
Last updated
02/28/2019
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