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Organization
FASTTRACK IMMEDIATE CARE OF MILLEDGEVILLE LLC
Active
Organization
FASTTRACK IMMEDIATE CARE OF MILLEDGEVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE NOBLES PAULK (CEO)
(478) 271-0337
Entity
Organization
Contact information
Practice address
1909 N COLUMBIA ST, MILLEDGEVILLE, GA 31061-2170
(478) 295-3000
(478) 295-3003
Mailing address
126 N 2ND ST, COCHRAN, GA 31014-6330
(478) 271-0337
(478) 295-3003
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
07/21/2022
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