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Organization
FAST PACE MISSISSIPPI, PLLC
Active
Organization
FAST PACE MISSISSIPPI, PLLC
Active
Other names
Fast Pace Health
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNI CLEMMONS (CREDENTIALING MANAGER)
(901) 351-1791
Entity
Organization
Contact information
Practice address
1020 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3216
(931) 253-1101
Mailing address
PO BOX 306415, NASHVILLE, TN 37230-6415
(931) 253-9919
(931) 722-9919
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/13/2021
Last updated
02/06/2024
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