FASTTRACK IC ANCILLARY LLC is a specialist in Dublin, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FASTTRACK IC ANCILLARY LLC NPI is 1780134411. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
1110 HILLCREST PKWY
UNIT #C
DUBLIN, GA
ZIP 31021-687
Phone: (478) 296-2800
The provider's authorized official is Jared Deraney .
The authorized official title is President and has the following contact phone number (888) 728-0882.
The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.