Organization
FASTRACK URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN W. SOUZA (MD/MANAGER)
(478) 296-2800
Entity
Organization
Contact information
Practice address
2822 NOTTINGHAM WAY, ALBANY, GA 31707-7629
(855) 491-8869
(855) 491-8879
Mailing address
PO BOX 6377, WARNER ROBINS, GA 31095-6377
(855) 491-8869
(855) 491-8879
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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