Organization
FASTENP LLC ( 24 HOURS MOBILE URGENT /PRIMARY CARE)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE MINKOFF (FNP)
(470) 699-8220
Entity
Organization
Contact information
Practice address
2766 ABILENE LN, SNELLVILLE, GA 30078-6436
(678) 687-3376
Mailing address
2766 ABILENE LN, SNELLVILLE, GA 30078-6436
(678) 687-3376
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2017OCC-006713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457737892
NPI ENUMERATOR
GA
Enumeration date
04/28/2017
Last updated
04/28/2017
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