Four Corners @ Vph

LBN: Four Corners Primary Care Centers Inc
Four Corners @ Vph is an health care organization with primary practice located at 5300 Oakbrook Pkwy Suite 130, Norcross GA 30093-2256. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Four Corners Primary Care Centers Inc can be contacted via phone (770) 279-3142, or through Williams, Brian O. via phone (770) 279-3140.

Contact Information

Primary practice address
5300 Oakbrook Pkwy Suite 130 Norcross GA 30093-2256
Phone: (770) 279-3142
Fax: (770) 234-5210
Website:
Map and Directions
Authorized official contact:
Name: Williams, Brian O. Doctor of Medicine (MD)
Phone: (770) 279-3140

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1265624548
LBN Legal business name Four Corners Primary Care Centers Inc
DBA Doing business as Four Corners @ Vph
Authorized official Williams, Brian O. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2007
Last updated Sep 1st, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265624548 NPPES
Georgia MEDICAID 162765396A

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