| NPI | 1265624548 |
|---|---|
| Doing Business As | FOUR CORNERS @ VPH |
| Entity Type | Organization |
| Authorized Contact | BRIAN O. WILLIAMS CEO 770-279-3140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2016-09-01 |