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Organization
FAST PACE MEDICAL CLINIC PLLC
Active
Organization
FAST PACE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HARLAN (DIRECTOR CREDENTIALING & ENROLLMENT)
(615) 948-9639
Entity
Organization
Contact information
Practice address
211 E STATE HWY 66, TELL CITY, IN 47586
(812) 772-4380
Mailing address
PO BOX 306417, NASHVILLE, TN 37230-6417
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/03/2021
Last updated
11/07/2024
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