Four Corners Primary Care Centers INC

NPI #1548622285 in Hoschton, Georgia

Provider Information

NPI Number: 1548622285
Entity Type: Organization
Organization Name: Four Corners Primary Care Centers INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Mar 22, 2016
Last Updated: Feb 28, 2019

Practice Location

Address: 115 TOWNE CENTER PKWY
Address 2: SUITE 113
City: Hoschton
State: Georgia
ZIP Code: 30548-2213
Phone: (770) 806-2928

Authorized Official

Name: BRIAN WILLAMS, MD
Title: CEO
Phone: (770) 806-2928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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