# FAST PACE MEDICAL CLINIC PLLC

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

## Provider details

- **NPI number:** 1649770769
- **Authorized official:** ROBERT BENSON (COO)
- **Authorized official phone:** (931) 253-1110

## Contact information

- **Practice address:** 4152 W STATE ROAD, HANOVER, IN 47243
- **Practice address phone:** (931) 253-1110
- **Practice address fax:** (931) 722-9919
- **Mailing address:** PO BOX 1258, WAYNESBORO, TN 38485-1258
- **Mailing address phone:** (931) 253-1110
- **Mailing address fax:** (931) 722-9919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/15/2018
- **Last updated:** 03/11/2024