# FAST PACE MEDICAL CLINIC PLLC

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

## Provider details

- **NPI number:** 1689339053
- **Authorized official:** ROBERT BENSON (COO)
- **Authorized official phone:** (931) 253-1110

## Contact information

- **Practice address:** 2960 WINFIELD DUNN PKWY, KODAK, TN 37764-4309
- **Practice address phone:** (865) 213-7104
- **Practice address fax:** (865) 213-7105
- **Mailing address:** PO BOX 306244, NASHVILLE, TN 37230-6244

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2021
- **Last updated:** 11/01/2021