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Contact Information

FASTTRACK IMMEDIATE CARE OF MILLEDGEVILLE LLC
1909 N COLUMBIA ST
MILLEDGEVILLE, GA31061-2170
 Phone: 478-295-3000
 Fax: 478-295-3003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for FASTTRACK IMMEDIATE CARE OF MILLEDGEVILLE LLC · (Female)

NPI Number 1366847790
Status Active
Credentials
Entity Individual
Enumeration date 10/28/2014
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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