# FAST PACE MISSISSIPPI, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Fast Pace Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972262400
- **Authorized official:** SYDNI CLEMMONS (CREDENTIALING MANAGER)
- **Authorized official phone:** (901) 351-1791

## Contact information

- **Practice address:** 1020 HIGHWAY 62 E, MOUNTAIN HOME, AR 72653-3216
- **Practice address phone:** (931) 253-1101
- **Mailing address:** PO BOX 306415, NASHVILLE, TN 37230-6415
- **Mailing address phone:** (931) 253-9919
- **Mailing address fax:** (931) 722-9919

## Taxonomy

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

## Other

- **Enumeration date:** 12/13/2021
- **Last updated:** 02/06/2024