# FAST PACE MEDICAL CLINIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639679913
- **Authorized official:** ROBERT BENSON (COO)
- **Authorized official phone:** (931) 253-1110

## Contact information

- **Practice address:** 2401 DECHERD BLVD, WINCHESTER, TN 37398-1164
- **Practice address phone:** (931) 313-1388
- **Practice address fax:** (931) 313-1392
- **Mailing address:** PO BOX 306244, NASHVILLE, TN 37230-6244
- **Mailing address phone:** (931) 253-1110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/13/2018
- **Last updated:** 11/01/2021