Organization · Type 2 NPI

Four Corners Primary Care Centers, Inc.

Federally Qualified Health Center (FQHC) · Lawrenceville, GA

NPI number 1285325282 Active

Practice location

318 W Pike St Ste 100
Lawrenceville, GA 30046-3234

Call (770) 806-2928 Map

Mailing address

5300 Oakbrook Pkwy Ste 130
Norcross, GA 30093-2261

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Other federally qualified health center (fqhc) providers in Lawrenceville

Four Corners Primary Care Centers, Inc.Federally Qualified Health Center (FQHC) Lawrenceville, GA NPI 1356682959
Medlink Georgia IncFederally Qualified Health Center (FQHC) Lawrenceville, GA NPI 1649829532
Southside Medical Center, IncFederally Qualified Health Center (FQHC) Lawrenceville, GA NPI 1861129850

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NPI record

NPI: 1285325282
Entity type: Organization (Type 2)
Issued: May 19, 2023
Last updated: May 19, 2023
Status: Active
Subpart: Yes of Four Corners Primary Care Centers, Inc.

Other names

Four Corners Primary Care Centers, W Pike · other name

Authorized official

Brian Oneal Williams, MD
CEO
(770) 279-3141

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285325282

Four Corners Primary Care Centers, Inc.'s National Provider Identifier is 1285325282, issued on May 19, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lawrenceville, GA. The record was last updated on May 19, 2023.