| NPI | 1285325282 |
|---|---|
| Other Name | FOUR CORNERS PRIMARY CARE CENTERS, W PIKE |
| Entity Type | Organization |
| Authorized Contact | BRIAN ONEAL WILLIAMS CEO 770-279-3141 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2023-05-19 |