Organization
FAST PACE MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNI CLEMMONS (CREDENTIALING MANAGER)
(931) 981-1901
Entity
Organization
Contact information
Practice address
416 N SEMINARY ST STE 1100, FLORENCE, AL 35630-6411
(931) 253-1110
(256) 664-4280
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
(931) 722-9919
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
02/13/2018
Last updated
03/14/2024
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