Organization
FAST PACE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNI CLEMMONS (CREDENTIALING MANAGER)
(931) 253-1110
Entity
Organization
Contact information
Practice address
25 BEAR PKWY, LINCOLN, AL 35096-6798
(205) 548-4106
Mailing address
PO BOX 306244, NASHVILLE, TN 37230-6244
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/05/2022
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