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Contact Information

FASTTRACK IMMEDIATE CARE OF ALBANY
2822 NOTTINGHAM WAY
ALBANY, GA31707-7629
 Phone: 229-496-1193
 Fax:
 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 ALBANY

NPI # 1235532284
LBN Legal business name FASTTRACK IMMEDIATE CARE OF ALBANY
Authorized official JARED DERANEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2014
Last updated 10/06/2014 - About 12 years ago
Identifiers
GA License # GA48063
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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