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Organization
FASTTRACK IMMEDIATE CARE OF ALBANY
Active
Organization
FASTTRACK IMMEDIATE CARE OF ALBANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JARED DERANEY SOLE MEMBER (OWNER)
(888) 728-0882
Entity
Organization
Contact information
Practice address
2822 NOTTINGHAM WAY, ALBANY, GA 31707-7629
(229) 496-1193
Mailing address
PO BOX 4380, ALPHARETTA, GA 30023-4380
(888) 728-0882
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
GA48063
GA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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