# FASTENP LLC ( 24 HOURS MOBILE URGENT /PRIMARY CARE)

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

## Provider details

- **NPI number:** 1902331770
- **Authorized official:** ALICE MINKOFF (FNP)
- **Authorized official phone:** (470) 699-8220

## Contact information

- **Practice address:** 2766 ABILENE LN, SNELLVILLE, GA 30078-6436
- **Practice address phone:** (678) 687-3376
- **Mailing address:** 2766 ABILENE LN, SNELLVILLE, GA 30078-6436
- **Mailing address phone:** (678) 687-3376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 2017OCC-006713 | GA | Yes |

## Other

- **Enumeration date:** 04/28/2017
- **Last updated:** 04/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1457737892 | NPI ENUMERATOR | GA |