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Contact Information

FASTTRACK IMMEDIATE CARE OF DUBLIN, LLC
1110 HILLCREST PKWY
DUBLIN, GA31021-3687
 Phone: 478-296-2800
 Fax: 478-296-2801
 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 DUBLIN, LLC

NPI # 1801292776
LBN Legal business name FASTTRACK IMMEDIATE CARE OF DUBLIN, LLC
Authorized official NICOLE PAULK - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/05/2014
Last updated 11/17/2018 - About 8 years ago
Identifiers n/a
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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