National Provider Identifier Database

FASTTRACK IMMEDIATE CARE OF EASTMAN LLC
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

FASTTRACK IMMEDIATE CARE OF EASTMAN LLC
1120 INDIAN DR STE C
EASTMAN, GA31023-7671
Phone: 478-374-1778
Fax: 478-374-1727
Website:
Specialty Taxonomy Code
* General Practice 208D00000X

* Indicates primary specialty

NPI Profile & details for FASTTRACK IMMEDIATE CARE OF EASTMAN LLC

NPI Number 1922404896
Legal business name
LBN
FASTTRACK IMMEDIATE CARE OF EASTMAN LLC
Authorized official NICOLE PAULK - (CEO)
Entity Organization
Organization subpart No
Enumeration date 11/05/2014
Last updated 11/17/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for FASTTRACK IMMEDIATE CARE OF EASTMAN LLC

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