# FASTTRACK IMMEDIATE CARE OF ALBANY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235532284
- **Authorized official:** MR. JARED DERANEY SOLE MEMBER (OWNER)
- **Authorized official phone:** (888) 728-0882

## Contact information

- **Practice address:** 2822 NOTTINGHAM WAY, ALBANY, GA 31707-7629
- **Practice address phone:** (229) 496-1193
- **Mailing address:** PO BOX 4380, ALPHARETTA, GA 30023-4380
- **Mailing address phone:** (888) 728-0882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | GA48063 | GA | Yes |

## Other

- **Enumeration date:** 10/06/2014
- **Last updated:** 10/06/2014