Organization
FAST PACE MEDICAL CLINIC 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
4005 N COLLEGE AVE, JACKSON, AL 36545-2024
(251) 744-6084
Mailing address
PO BOX 306491, NASHVILLE, TN 37230-6491
(931) 253-1110
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
08/03/2023
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