Organization
FAST PACE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNI CLEMMONS (CREDENTIALING MANAGER)
(901) 351-1791
Entity
Organization
Contact information
Practice address
998 2ND AVE E., CENTERVILLE, AL 35121-2506
(205) 395-5014
Mailing address
PO BOX 306244, NASHVILLE, TN 37230-6244
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
03/27/2024
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