| Four Corners Primary Care Centers Inc | |
|
115 Towne Center Pkwy Suite 113 Hoschton GA 30548-2213 | |
| (770) 806-2928 | |
| Not Available |
| Full Name | Four Corners Primary Care Centers Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 115 Towne Center Pkwy, Hoschton, Georgia |
| Authorized Official Name and Position | Brian Willams (CEO) |
| Authorized Official Contact | 7708062928 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Corners Primary Care Centers Inc 5300 Oakbrook Pkwy Suite 130 Norcross GA 30093-2256 Ph: () - | Four Corners Primary Care Centers Inc 115 Towne Center Pkwy Suite 113 Hoschton GA 30548-2213 Ph: (770) 806-2928 |
| NPI Number | 1548622285 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 02/28/2019 |
| Medicare PECOS PAC ID | 1951497494 |
|---|---|
| Medicare Enrollment ID | O20160519002463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548622285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Northeast Georgia Physicians Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 Towne Center Pkwy, Suite 113, Hoschton, GA 30548 Phone: 706-658-2452 Fax: 706-658-2462 | |
Jsj Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7180 Wrights Ln, Hoschton, GA 30548 Phone: 917-734-1664 | |
The Braselton Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5875 Thompson Mill Rd, Ste. 200, Hoschton, GA 30548 Phone: 770-965-2022 Fax: 770-967-6325 |