Organization
FAST PACE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY LITTLEJOHN (SR MANAGER)
(931) 253-1110
Entity
Organization
Contact information
Practice address
3813 OLD PORT ROYAL RD N, SPRING HILL, TN 37174-2813
(931) 487-1006
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 722-9099
(931) 722-9919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515574
—
TN
Enumeration date
09/14/2009
Last updated
11/21/2024
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