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NPI Code Detail

MEDICARE: FAST ACCESS NC LLC

MEDICARE: FAST ACCESS NC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1871156620
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAST ACCESS NC LLC
Provider Business Mailing Address
First Line : 4301 MORRIS PARK DR
Second Line :
City : MINT HILL
State : NC
Zip : 28227-8253
Country : US
Telephone Number : 423-805-0744
Fax Number :
Provider Business Practice Location Address
First Line : 3734 REYNOLDA RD
Second Line :
City : WINSTON SALEM
State : NC
Zip : 27106-2240
Country : US
Telephone Number : 423-805-0744
Fax Number :
Authorized Official
Title or Position : PRESIDENT / CEO
Name : MR. CHRISTOPHER L BAUMGARTNER
Credential :
Telephone Number : 423-805-0744
Provider Enumeration Date : 04/17/2019
Last Update Date : 04/17/2019

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Directions to “FAST ACCESS NC LLC ” Practice Location

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