Organization · NPI-2

Fastrack Urgent Care LLC

Clinic/Center · Albany, GA

NPI number1487083671
StatusActive
Last updated in NPPESNov 7, 2013

Details

NPI
1487083671
Entity type
Organization (NPI-2)
Legal business name
Fastrack Urgent Care LLC
Organization subpart
No
Enumeration date
Nov 7, 2013
Last updated
Nov 7, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

2822 Nottingham Way
Albany, GA 31707-7629

Phone 855-491-8869 · Fax 855-491-8879

Mailing address

Po Box 6377
Warner Robins, GA 31095-6377

Phone 855-491-8869 · Fax 855-491-8879

Authorized official

John W. Souza
MD/Manager
4782962800

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