Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fasttrack Ic Ancillary LLC

Organization Specialist · NPI 1780134411

Fasttrack Ic Ancillary LLC is a Specialist in Dublin, Georgia. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1110 Hillcrest Pkwy Unit #C
Dublin, GA 31021-3687
Phone: (478) 296-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1780134411
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jared Deraney — President · (888) 728-0882
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 5, 2016
Mailing addressPo Box 4380, Alpharetta, GA 30023-4380

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