Organization
FAST PACE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BENSON (COO)
(931) 253-1110
Entity
Organization
Contact information
Practice address
560 E MAIN ST, HOHENWALD, TN 38462-2006
(931) 796-7658
(931) 796-7697
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515574
—
TN
Enumeration date
02/13/2018
Last updated
11/16/2021
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