Organization · Type 2 NPI

Fasttrack Ic Ancillary LLC

Specialist · Dublin, GA

NPI number 1780134411 Active

Practice location

1110 Hillcrest Pkwy, Unit #C
Dublin, GA 31021-3687

Call (478) 296-2800 Map

Mailing address

PO Box 4380
Alpharetta, GA 30023-4380

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780134411

Fasttrack Ic Ancillary LLC's National Provider Identifier is 1780134411, issued on Oct 5, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dublin, GA. The record was last updated on Oct 5, 2016.