Four Corners Testing LLC

NPI #1194431718 in Locust Grove, Georgia

Provider Information

NPI Number: 1194431718
Entity Type: Organization
Organization Name: Four Corners Testing LLC
Subpart: Yes (part of a larger organization)
Parent Organization: FOUR CORNERS TESTING LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jan 26, 2023
Last Updated: Jan 26, 2023

Practice Location

Address: 4050 GA-42
City: Locust Grove
State: Georgia
ZIP Code: 30248
Phone: (206) 371-3336

Authorized Official

Name: BRYAN JONES
Title: PRINCIPAL
Phone: (206) 371-3336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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